Mesothelioma Doctor Creates Preoperative Drink for Patients
Peritoneal mesothelioma specialist Dr. Charles Conway wants to make major surgery an easier, more manageable experience for his patients. His latest innovation — a preoperative, complex-carbohydrate beverage — should help considerably. Conway, director of surgical oncology at the Ridley-Tree Cancer Center in Santa Barbara, California, will begin offering patients the novel drink customized to speed recovery and lessen the risk of dangerous side effects. Conway designed SurgiStrong RecoverAid, a uniquely blended product to fill a void in the growing Enhanced Recovery After Surgery (ERAS) programs that have sprung up throughout the U.S. “There just weren’t a lot of options out there for the patients. There was nothing that we liked,” Conway told Asbestos.com. “So we decided to make our own, tweaked just the way it needed to be. We think it will catch on.” Drink Could Shorten Hospital Stays The use of SurgiStrong RecoverAid is expected to reduce insulin resistance, postoperative nausea and vomiting, loss of muscle mass and surgery-induced immune-depression. It also should reduce the thirst, hunger and anxiety many patients feel in the hours leading up to surgery. It may reduce the length of hospital stays, too. He recommends it for any type of surgery. “It’s almost like carbo-loading before you run a marathon. You can’t do a marathon without calories in the body,” he said. “[It’s the] same with surger...
This study investigates the distribution of femoral metastases in cancer patients, specifically addressing the incidence of distal femoral metastases. PET/CT examinations routinely extend only to mid-thigh level, precluding detection of distal metastases. We found a total of 208 femoral metastases in 112 patients. 30% had distal femoral metastases in addition to other areas of involvement. 7% of patients with femoral metastases had only distal femur disease. 6 patients had distal pathologic fractures. Exclusion of the distal femur during PET/CT may result in a missed or delayed diagnosis that could contribute to the develo...
ABSTRACTX ‐linked hypophosphatemia (XLH) is characterized by increased activity of circulating FGF23 resulting in renal phosphate wasting and abnormal bone mineralization. Hyperparathyroidism may develop in XLH patients; however its prevalence, pathogenesis and clinical presentation are not documented.This observational study (CNIL 2171036 v 0) recruited XLH adult patients in a single tertiary referral center. Each patient was explored in standardized conditions and compared with two healthy volunteers, matched for sex, age and 25 ‐OH vitamin D concentrations. The primary endpoint was the proportion of patients with hy...
Authors: Xu H, Dong L, Bin Z, Yansong H, Shaofeng L, Chang L, Chen C, Changli W Abstract Despite the excellent efficacy and low toxicity of photoresponse therapy, which has attracted considerable attention for use in non-small cell lung cancer (NSCLC) therapy, unsatisfactory cellular permeability, and instability, both in vitro and in vivo have limited further clinical applications of indole cyanine photosensitizers. Here, we explore the supramolecular self-assembly of a 'hyalurosome' that is mediated by calcium phosphate nanonuclei. Through hyaluronate-mediated CD44 targeting, the constructed hyalurosome...
Preoperative anxiety has been associated with increased postoperative pain and lower patient satisfaction. The purpose of this study was to evaluate the effect of listening to music just prior to surgery on preoperative anxiety compared to usual care in patients undergoing reconstructive pelvic surgery.
To identify the independent risk factors of concurrent endometrial cancer among women with endometrial hyperplasia and build the clinical prediction model incorporating the clinical and pathological markers.
Placing patients in dorsal lithotomy prior to induction of anesthesia confers multiple benefits including ensuring patient comfort and decreasing lower extremity nerve injury. However, it is unknown whether lithotomy positioning during induction of anesthesia increases intraabdominal pressure (IAP), theoretically introducing more risk for aspiration or difficult ventilation. Our objective was to determine if there were differences in IAP in supine, low lithotomy and high lithotomy positions.
Anxiety can be measured in various ways. State anxiety is temporary and is sensitive to change. Our study aims to characterize the reasons for anxiety among women presenting for their initial gynecology visit, to measure the change in state anxiety after the visit, and to correlate anxiety improvement with visit satisfaction.
To evaluate the effect of preoperative depression on length of stay and disposition following pelvic reconstructive surgery (PRS).
We aim to present a modified colpocleisis technique for management of a stage 4 POP after a radical cystectomy/ anterior pelvic exenteration. Additionally, we will briefly review urothelial cancer and surgical management as it relates to gynecology.
To determine the adherence to the recommended practices for performing a risk-reducing bilateral salpingo-oophorectomy (RRBSO) as described by the American College of Obstetricians and Gynecologists and Society of Gynecologic Oncology. We sought to determine if adherence differed by type of training i.e., gynecologic oncologists versus benign gynecologists. Additionally, we aimed to determine the incidence of ovarian cancer diagnosed at the time of RRBSO in a large cohort of patients with a BRCA mutation.
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