Enhanced recovery after surgery improves clinical outcomes in adolescent bariatric surgery
CONCLUSIONS: The described ERAS protocol is safe and effective in adolescents undergoing laparoscopic VSG and is associated with shorter time to oral intake, reduced opioid requirements, and shorter hospital lengths of stay with no increase in return ED visits or readmissions.PMID:38653653 | DOI:10.1016/j.soard.2024.03.016 (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - April 23, 2024 Category: Surgery Authors: Nicholas Schmoke Christopher Nemeh Tania Gennell Dana Schapiro Ashley Hiep-Catarino Matthew Alexander Alexander V Chalphin Robert W Crum Leign Holynskyj Tatiana Kubacki William S Schechter Jeffrey Zitsman Source Type: research
VaNoLaH trial: a study protocol--a multinational randomised controlled trial including two identical substudies comparing vaginal versus vNOTES (vaginal natural orifice transluminal surgery) hysterectomy or laparoscopic versus vNOTES hysterectomy
Introduction
Hysterectomy is one of the most common surgeries performed in women. Minimally invasive methods are on the rise globally as they have been shown to decrease surgical morbidity compared with abdominal hysterectomy. Hysterectomy by vaginal natural orifice transluminal endoscopic surgery (vNOTES) is the latest innovation. It combines the vaginal approach and endoscopy via the vagina. Large pragmatic randomised controlled trials (RCTs) are lacking comparing outcomes after vNOTES, vaginal hysterectomy (VH) and laparoscopic hysterectomy (LH).
Methods
Multicentre pragmatic RCT aiming to recruit 1000 women aged 18&nd...
Source: BMJ Open - April 23, 2024 Category: General Medicine Authors: Baekelandt, J. F., Stuart, A., Wagenius, J., Laenen, A., Mol, B. W., Deprest, J., Bosteels, J. J. A. Tags: Open access, Obstetrics & Gynaecology Obstetrics and gynaecology Source Type: research
Surgical management of renal cell carcinoma with subhepatic inferior vena cava tumor thrombus: a case report and review of the literature
ConclusionOpen surgery is a safe and efficient way to treat renal cell carcinoma involving the renal vein and inferior vena cava. It is superior to other therapeutic modalities. When properly done it provides acceptable long time survival and good quality of life to patients. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - April 23, 2024 Category: General Medicine Source Type: research
Laparoscopic totally extraperitoneal hernia repair in patients with a history of previous abdominopelvic surgery
AbstractA retrospective cohort study of patients undergoing laparoscopic inguinal hernia repair compared short- and long-term outcomes between individuals with or without history of previous abdominopelvic surgery, aiming to determine the feasibility of totally extraperitoneal (TEP) repair within this population. All patients who underwent elective TEP inguinal hernia repair by one consultant surgeon across three London hospitals from January 2017 to May 2023 were retrospectively analysed to assess perioperative outcomes. Two hundred sixty-two patients were identified, of whom two hundred forty-three (93%) underwent laparo...
Source: Updates in Surgery - April 23, 2024 Category: Surgery Source Type: research
Structured feedback and operative video debriefing with critical view of safety annotation in training of laparoscopic cholecystectomy: a randomized controlled study
ConclusionsStructured feedback and video debriefing with CVS annotation improves CVS achievement and ex-vivo porcine LC training performance based on OSATS and GOALS scores. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 23, 2024 Category: Surgery Source Type: research
Cancers, Vol. 16, Pages 1620: Short-Term Outcomes Analysis Comparing Open, Laparoscopic, Laparoscopic-Assisted, and Robotic Distal Gastrectomy for Locally Advanced Gastric Cancer: A Randomized Trials Network Analysis
Conclusions. LapAs-DG, Lap-DG, and Rob-DG performed in referral centers by dedicated surgeons have comparable short-term outcomes to Op-DG for locally AGC. (Source: Cancers)
Source: Cancers - April 23, 2024 Category: Cancer & Oncology Authors: Michele Manara Alberto Aiolfi Andrea Sozzi Matteo Cal ì Federica Grasso Emanuele Rausa Gianluca Bonitta Luigi Bonavina Davide Bona Tags: Systematic Review Source Type: research
Optimizing nicardipine dosage for effective control of pituitrin-induced hypertension in laparoscopic myomectomy undergoing total intravenous anesthesia
This study aimed to determine the median effective dose (ED50) and 95% effective dose (ED95) of nicardipine for treating pituitrin-induced hypertension during laparoscopic myomectomy, providing guidance for th... (Source: BMC Anesthesiology)
Source: BMC Anesthesiology - April 23, 2024 Category: Anesthesiology Authors: Chen Wang, Xiaoli Zhao, Yunyun Chen, Jianhua Xia, Xixue Zhang and Tingting Wang Tags: Research Source Type: research
The Therapeutic Effectiveness of Laparoscopic Sleeve Gastrectomy Among Individuals with Low BMI Obesity (30-35 Kg/m2) and the Relationship of BMI to Weight Loss
(Source: International Journal of General Medicine)
Source: International Journal of General Medicine - April 22, 2024 Category: General Medicine Tags: International Journal of General Medicine Source Type: research
Robotic-Assisted Surgery for Rectal Cancer: An Expedited Summary of the Clinical Evidence
CONCLUSIONS: Robotic-assisted rectal cancer surgery may result in similar or improved clinical outcomes compared with laparoscopic and open rectal cancer surgery.PMID:38645608 | PMC:PMC11031254 (Source: Ontario Health Technology Assessment Series)
Source: Ontario Health Technology Assessment Series - April 22, 2024 Category: General Medicine Authors: Ontario Health Source Type: research
Bio-thermal response during laser haemorrhoidoplasty: an exclusive analytical and numerical approach for theoretical investigation
Lasers Med Sci. 2024 Apr 22;39(1):108. doi: 10.1007/s10103-024-04046-7.ABSTRACTHaemorrhoidal disease is identified by declension of the inflamed and bleeding of vascular tissues of the anal canal. Traditionally, haemorrhoids are associated with chronic constipation and the most common symptoms are irritation in anus region, pain and discomfort, swelling around anus, tender lumps around the anus and rectal bleeding (depending upon the grade of haemorrhoid). Among the several conventional treatment procedures (commonly mentioned as, rubber band litigation, sclerotherapy and electrotherapy), laser haemorrhoidoplasty is an out...
Source: Anal Sci - April 22, 2024 Category: Chemistry Authors: Jaideep Dutta Source Type: research
Olanzapine for the prevention of postoperative nausea and vomiting after gynecologic laparoscopic surgery: a randomized controlled trial
CONCLUSION: Our data suggest that olanzapine relative to placebo decreased the risk of nausea and/or vomiting in the 24 h after gynecologic laparoscopic surgery.TRIAL REGISTRATION: The trial was registered prior to patient enrollment at The Chinese Clinical Trial Registry (https://www.chictr.org.cn/showproj.html?proj=166900, link to registry page, Principal investigator: Nanjin Chen, Date of registration: 25 April 2022).PMID:38646425 | PMC:PMC11027591 | DOI:10.1177/20420986241244593 (Source: Adv Data)
Source: Adv Data - April 22, 2024 Category: Epidemiology Authors: Nanjin Chen Shuman Ji Junfei Liu Liping Wang Fenglin Chen Yanwu Zhu Jiao Li Minjuan Chen Lingyang Chen Mingcang Wang Ruyi He Xiaopeng Mei Zhanqin Zhang Shengwei Jin Jingming Zheng Yongpo Jiang Source Type: research
Spontaneous clearance of serum HCV-RNA after splenectomy in a patient with HCV-related liver cirrhosis and portal hypertension: a case report
CONCLUSIONS: We have presented a case of spontaneous clearance of HCV-RNA after splenectomy in a patient with cirrhosis and portal hypertension. Splenectomy may be associated with disappearance of HCV-RNA based on previous reports. More cases should be accumulated and evaluated.PMID:38647617 | DOI:10.1186/s40792-024-01899-6 (Source: Hand Surgery)
Source: Hand Surgery - April 22, 2024 Category: Surgery Authors: Toshiro Ogata Terufumi Sakai Sho Shibata Hiroki Kanno Hiroyuki Nakane Takeshi Aoyagi Kazuhiro Koikawa Yoshihiko Sadakari Gentaro Hirokata Masahiko Taniguchi Source Type: research
