Laparoscopic management of acute abdominal emergencies
Publication date: Available online 12 September 2019Source: Surgery (Oxford)Author(s): Rishabh Singh, Andrea ScalaAbstractUse of minimally invasive approaches to acute abdominal surgical emergencies has increased in recent decades. Uptake has been slower than for elective surgery, however, with concerns regarding inadvertent injury and operative time being most frequently cited. Laparoscopy for abdominal pain has shown to be safe and is a useful diagnostic procedure in the context of unexplained abdominal pain. Minimally invasive surgery has also been shown to be the approach of choice in appendicitis and cholecystitis. Laparoscopy has shown to be useful in trauma patients and may obviate the need for laparotomy. Management of perforated peptic ulcers has shown to be feasible and safe, with some uncertainty as to the superiority over an open approach. The management of perforated diverticulitis has been the subject of much debate, with significant risk possibly associated with minimally invasive lavage. Small bowel obstruction may also be managed using laparoscopy but the potential for inadvertent injury remains. While useful and certainly yielding benefits in terms of postoperative recovery when performed without incident, the decision to proceed minimally invasively in many acute abdominal emergencies must be taken by clinicians and surgical teams with suitable experience and expertise.
Do you guys think there is enough volume to support an outpatient interventional cancer pain &cancer rehab practice? I will be starting my PM&R residency training at one of the top programs in the country after this academic year (am an prelim medicine intern right now). And I ultimately want to help cancer survivors. I think with the continuing improvements with cancer treatments (most recently with immunotherapy), cancer will be/is a chronic disease with debilitating side effects that... cancer pain only practice
Perioperative Use of Gabapentinoids for the Management of Postoperative Acute Pain:A Systematic Review and Meta-analysis | Anesthesiology | ASA Publications In this new meta-analysis in this months’ Anesthesiology, the use of these drugs is very much called into question. Will this change your practice?
Publication date: September 2020Source: Social Science &Medicine, Volume 261Author(s): Vani A. Mathur, Theresa Morris, Kelly McNamara
Publication date: Available online 3 August 2020Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Salvador Israel Macías-Hernández, Jessica Rossela García-Morales, Cristina Hernández-Díaz, Irene Tapia-Ferrusco, Oscar Benjamín Velez-Gutiérrez, Tania Inés Nava-Bringas
Publication date: Available online 3 August 2020Source: Gynecologic Oncology ReportsAuthor(s): Kevin M. Kremer, Jessica Lee, Matthew J. Carlson, Salvatore J. Lococo, David S. Miller, Jayanthi S. Lea
CONCLUSIONS: To avoid running-related injuries, runners should be careful when increasing weekly mileage. Moreover, runners with previous exercise experience may need to approach running more cautiously. Setting goals and pursuing longer-distance running events may be motivating, but at the same time, can increase the risk of running-related injuries. PMID: 32744044 [PubMed - as supplied by publisher]
Authors: Sakamoto T, Ishio Y, Ishida Y, Mogi K, Kikusui T Abstract Deprivation of maternal care has been associated with higher pain sensitivity in offspring. In the present study, we hypothesized that the maternal licking/grooming behavior was an important factor for the development of the pain regulatory system. To test this hypothesis, we used male F2 offspring of early-weaned (EW) F1 mother mice that exhibit lower frequency of licking/grooming behavior. The formalin test revealed that F2 offspring of EW F1 dams showed significantly higher pain behavior than F2 offspring of normally-weaned (NW) F1 dams. We found...
Publication date: Available online 4 August 2020Source: Annals of Medicine and SurgeryAuthor(s): Toshikatsu Nitta, Jun Kataoka, Masato Ohta, Yasuhiko Ueda, Sadakatsu Senpuku, Yukiko Kurashima, Tetsunosuke Shimizu, Takashi Ishibashi
BY ALEJANDRO E. MACIAS; BILLY ZHANG; KRISTEN HUGHES; SHAMIM KHAN, MD; FRANCISCO JACOME, MDA 73-year-old man with a past medical history of hypertension, type 2 diabetes, and hyperlipidemia and a surgical history for a coronary artery bypass presented with sudden, severe lower abdominal pain. He characterized his pain as 8/10 and was tender to palpation.Laboratory studies showed a white blood cell count of 7.51 with a glucose of 759, no bands, a platelet count of 230,000, and a lactic acid level of 6.7. Urinalysis showed +5 ketones and a glucose count of greater than 500. An abdominal CT showed possible microperforations...
Abstract The greatest advantages of laparoscopy when compared to open surgery include the faster recovery times, shorter hospital stays, decreased postoperative pain, earlier return to work and resumption of normal daily activity as well as cosmetic benefits. Laparoscopy today is considered the gold standard of care in the treatment of cholecystitis and appendicitis worldwide. Laparoscopy has even been adopted in colorectal surgery with good results. The technological improvements in this surgical field along with the development of modern techniques and the acquisition of specific laparoscopic skills have allowed...