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Opioid Use, Disposition, and Parent Satisfaction Following Common Pediatric Surgical Procedures
CONCLUSIONS: Despite heightened awareness of the opioid epidemic, there is still a poor understanding of appropriate pain control regimens in the pediatric surgical population. We demonstrate that most patients are discharged home with excess opioids and that many families save the leftover pills/liquid. Further research and education are encouraged to limit the use of opioids in standard pediatric surgical procedures.PMID:37555374 | DOI:10.1177/00031348231191239
Source: The American Surgeon - August 9, 2023 Category: Surgery Authors: Raphael H Parrado Kunal J Patel Daniel P Allen Ariana Feuvrier Julie H Mansfield Robert A Cina Source Type: research

Impact of pneumoperitoneum pressure during laparoscopic hysterectomy: A randomized controlled trial
CONCLUSION(S): Reduced pneumoperitoneum insufflation pressure during laparoscopic hysterectomy negatively impacted surgeon satisfaction with a trend towards longer operative times and greater blood loss, and did not positively impact patient satisfaction, postoperative pain, opioid demand, or discharge timing.PMID:36434823 | DOI:10.1016/j.ejogrb.2022.11.011
Source: Reproductive Biology - November 26, 2022 Category: Reproduction Medicine Authors: Rachael B Smith Emily Biller Chengcheng Hu Nichole D Mahnert Ashley S Womack Sheena Galhotra Jamal Mourad Source Type: research

Modifying Post-operative Opioid Stewardship Through a System of Educational Feedback
Discussion: An intervention that provided general surgeons with feedback about their post-operative prescription patterns and data on post-operative opioid utilization by patients decreased prescribed MMED.PMID:36418926 | DOI:10.1177/00031348221129511
Source: The American Surgeon - November 24, 2022 Category: Surgery Authors: Gillian Beauchamp Pavit Deol Joseph Sipko Ali Yazdanyar Joshua Rosentel Daniel Kuehler Rovinder S Sandhu Matthew McCambridge Source Type: research

Sleeve-Dor Fundoplication - An Innovative Surgical Technique to Avoid the Epidemic Long Term de Novo Gastroesophageal Reflux and Barrett ´s Esophagus After Sleeve Gastrectomy for Obesity
DISCUSSION: Based on our preliminary and literature experiences, the SG with anterior Dor fundoplication (Sleeve-Dor) procedure could provide favorable safety profile, satisfactory reflux control and good bariatric outcomes. The complication rate is lower compared to published for Nissen Sleeve or Sleeve-Rossetti technique, with no leaks or major complications recorded to date. Sleeve-Dor procedure may be a potential primary and standard surgery for morbidly obese patients, especially for patients with preoperative GERD symptoms without major findings at endoscopy.PMID:36413570 | DOI:10.1177/15533506221139967
Source: Surgical Innovation - November 22, 2022 Category: Surgery Authors: Renjie Li Wael Eskander Andre F Teixeira Ricardo Zorron Source Type: research

Impact of an Educational Intervention on the Opioid Knowledge and Prescribing Behaviors of Resident Physicians
DISCUSSION: Resident physicians have an essential role in combating the opioid epidemic. There was a significant improvement in various aspects of opioid-related pain management among emergency medicine, internal medicine, and general surgery residents following the educational interventions. We recommend that medical school and residency programs consider including opioid-related pain management in their curricula.PMID:35494931 | PMC:PMC9038586 | DOI:10.7759/cureus.23508
Source: Pain Physician - May 2, 2022 Category: Anesthesiology Authors: Pankti P Acharya Brianna R Fram Jenna R Adalbert Ashima Oza Prashanth Palvannan Evan Nardone Nicole Caltabiano Jennifer Liao Asif M Ilyas Source Type: research

Evaluation of Postoperative Pain Management Using an Opioid-Sparing Protocol in Pediatric Surgical Patients
DISCUSSION: Among young patients who underwent laparoscopic appendectomy or cholecystectomy, the administration of opioids during hospitalization for postoperative pain was minimal. The opioid sparing protocol did not reduce the amount of inpatient postoperative opioids administered but found a decrease in the amount of opioids prescribed at discharge. The study findings identified further areas of intervention and education to optimize postoperative opioid prescribing after these common pediatric surgical procedures.PMID:34794319 | DOI:10.1177/00031348211054709
Source: The American Surgeon - November 19, 2021 Category: Surgery Authors: Jinhyun A Jung Kirsti Higgins Patricia Lange Cady Noda Source Type: research

Results of Gastrojejunal Plication for Inadequate Weight Loss follow Roux-en-Y Gastric Bypass
ConclusionThe exact reasons for weight loss failure after RYGB remain incompletely elucidated and are probably multifactorial. Pouch resizing could be a valuable option for weight loss failure or regain in selected patients with a dilated gastric pouch after RYGB in the short term. Careful selection of candidates for this procedure through psychiatric and nutritional evaluations and volumetric measures of the gastric pouch, preferably using CT, is mandatory to identify those patients most likely to benefit from revision.
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Ketamine infusion reduces narcotic requirements following gastric bypass surgery: a randomized controlled trial
CONCLUSIONS: Ketamine successfully reduced the amount of opioids required to control bariatric patients' pain at 24 hours postoperatively, but not over the 48-hour postoperative period.PMID:33451962 | DOI:10.1016/j.soard.2020.11.027
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - January 16, 2021 Category: Surgery Authors: Sonia D Mehta David Smyth Terrie Vasilopoulos Jeffrey Friedman Joshua W Sappenfield Gijo Alex Source Type: research

Bariatric Surgery in China: How Is This New Concept Going?
ConclusionsBariatric surgery is still at an early stage in China, but is now experiencing an explosive growth. A national registry system needs to be established to record and provide precise data.
Source: Obesity Surgery - November 24, 2016 Category: Surgery Source Type: research

The Effect of Bariatric Surgery on Hypertension: A Meta-analysis?
CONCLUSION: The results of this meta-analysis indicate that patients who undergo bariatric surgery experience improvement and resolution of their hypertension. PMID: 24662112 [PubMed - as supplied by publisher]
Source: The Annals of Pharmacotherapy - March 24, 2014 Category: Drugs & Pharmacology Authors: Wilhelm SM, Young J, Kale-Pradhan PB Tags: Ann Pharmacother Source Type: research