Optimizing Perioperative Outcomes with Selective Bowel Resection following Algorithm based on Pre-operative imaging for Bowel Endometriosis

ConclusionSelective bowel resection algorithm provides a systematic approach in the surgical management of patients with bowel endometriosis. Adherence to the surgical plan according to the pre-operative imaging and criteria outlined in the algorithm can be accomplished in the majority of patients. The surgical team, however, should be aware that upstaging or downstaging may be required depending on the intra-operative findings. When feasible, the team should opt for a less extensive procedure to avoid complications associated with more radical surgery.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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ABSTRACT Duguetia furfuracea (Annonaceae) is a shrub found in the Brazilian Cerrado that is used in popular medicine as an antirheumatic, for wound healing, treatment of kidney pain and against pediculosis. The aim of this study was to analyze the extraction of leaves of Duguetia furfuracea, using supercritical CO2, ethanol and hexane as solvents. For the supercritical extraction, an experimental planning 23 with triplicates of the central point was used to evaluate the effects of temperature (313-333 K), pressure (15-23 MPa) and volumetric flow rate (3-6 mL min-1) on the extraction yield, total phenolic content and antiox...
Source: Brazilian Journal of Chemical Engineering - Category: Chemistry Source Type: research
Entire medical record, lawsuit, etc... is here: Case 10: Shortness of Breath – medmalreviewer Med mal cases require a HIPAA waiver so the records are available to the public, this site publishes them. TL;DR 33 year old woman seen in ED for respiratory distress. Tons of comorbidities. Given Dilaudid for pain. Results don't show any acute emergency (depending on who you ask). Discharged from the ED. Sitting in ED lobby... Medical Malpractice Case
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Educational Quizzes and Case Studies Forum Source Type: forums
Publication date: Available online 15 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Insiyyah Patanwala, Chensi Ouyang, Matthew Fisk, Georgine LamvuAbstractStudy ObjectiveTo compare the amount of opioids (tablets and morphine milligram equivalents-MME) prescribed by physicians and used by patients, after benign gynecologic surgery.DesignProspective Cohort StudySettingTertiary Center- Main Hospital Operating Room and Outpatient Surgery CenterPatientsWomen undergoing benign gynecologic surgeryInterventionsMajor and minor gynecologic surgeriesMeasurementsThe surgery groups were: 1) minor laparoscopy (Mino...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Conclusion: The high prevalence of musculoskeletal pain demonstrates the need for strategies aimed at preventing this aggravation still in the academic setting.RESUMEN Objetivo: Verificar la prevalencia y factores asociados con el dolor musculoesquel ético en estudiantes de pregrado del área sanitaria. Método: Estudio transversal, realizado en con estudiantes de pregrado de una universidad del Sur de Brasil en el período de abril a julio de 2017. Se empleó el cuestionario de caracterización de los estudiantes y la versión brasileña del Standardized Nordic Questionnair...
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research
CONCLUSION: In this nationwide cohort study, the 1-year risk of pelvic sepsis following primary IPAA for ulcerative colitis increased 4-fold from 1996 to 2013. See Video Abstract at http://links.lww.com/DCR/A956.
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research
BACKGROUND: Complex anal fistula is one of the challenging anorectal conditions. Several treatments have been proposed for complex anal fistula, yet none proved to be ideal. OBJECTIVE: This randomized trial aimed to assess the efficacy of external anal sphincter–sparing seton in comparison with the conventional drainage seton in the treatment of complex anal fistula. DESIGN: This was a prospective, randomized, single-blind controlled study. SETTINGS: The study was conducted at the Colorectal Surgery Unit of Mansoura University Hospitals. PATIENTS: Adult patients of both sexes with complex anal fistula w...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research
BACKGROUND: Transanal hemorrhoidal dearterialization with mucopexy and vessel-sealing device hemorrhoidectomy seem to reduce postoperative pain compared with classic excisional hemorrhoidectomy, but whether one of them is superior remains unclear. OBJECTIVE: We compared transanal hemorrhoidal dearterialization with mucopexy and vessel-sealing device hemorrhoidectomy. DESIGN: This was a multicenter, randomized controlled trial. SETTING: The study was conducted at 6 Spanish centers. PATIENTS: Patients aged ≥18 years with grade III to IV hemorrhoids were included. INTERVENTIONS: Patients were randomly assi...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research
CONCLUSIONS: Coffee intake after elective laparoscopic colorectal resection leads to faster recovery of bowel function. Therefore, coffee intake represents a simple and effective strategy to prevent postoperative ileus. See Video Abstract at http://links.lww.com/DCR/A955. TRIAL REGISTRATION: clinicaltrials.gov identifier: NCT02469441.
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Socioeconomic Source Type: research
CONCLUSION: An endoscopic decompression was required to allow a laparoscopic treatment, and a bilateral pouchopexy was needed to avoid recurrence. This standardized approach might be a good treatment option, and we are awaiting additional follow-up to determine its long-term durability. In addition to the already described risk factors (minimally invasive technique, female sex, and low BMI), an anterior positioning of the pouch mesentery might be a potential risk factor as well for pouch volvulus. However, these observations should be carefully interpreted, considering the small number of cases.
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Technical Notes Source Type: research
Publication date: Available online 14 July 2019Source: Pharmacological ResearchAuthor(s): Federica Raucci, Asif J. Iqbal, Anella Saviano, Paola Minosi, Marialuisa Piccolo, Carlo Irace, Francesco Caso, Raffaele Scarpa, Stefano Pieretti, Nicola Mascolo, Francesco MaioneAbstractGout is a paradigm of acute, self-limiting inflammation caused by the deposition of monosodium urate (MSU) crystals within intra-and/or peri-articular areas, which leads to excruciating pain, joint swelling and stiffness. The infiltration of leukocytes drives the inflammatory response and remains an attractive target for therapeutic intervention. In th...
Source: Pharmacological Research - Category: Drugs & Pharmacology Source Type: research
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