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Procedure: Laparoscopy

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Total 161 results found since Jan 2013.

Intraabdominal pressure, cardiac index and vascular resistance during hyperthermic intraperitoneal chemotherapy - a prospective observational study.
CONCLUSIONS: Increased intraabdominal pressure during HIPEC was comparable to pneumoperitoneum. Haemodynamic changes however were opposed with a decrease in SVRI and a compensative increase in CI. Current guidelines for anaesthetic management in patients undergoing HIPEC are mainly based on findings from laparoscopic surgery and should therefore be reconsidered critically. PMID: 25971283 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - May 16, 2015 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Laparoscopic-assisted percutaneous endoscopic gastrostomy in two patients who failed percutaneous endoscopic gastrostomy
Conclusion While the literature reports mainly pediatric cases, we present herein two successful LAPEG in adult obese patients. In case of impossibility to perform PEG, this technique allows a safe direct visualization of the stomach and other adjacent organs.
Source: International Journal of Surgery Case Reports - June 6, 2015 Category: Surgery Source Type: research

Undiagnosed Heterotopic Pregnancy, Maternal Hemorrhagic Shock, and Ischemic Stroke in the Intrauterine Fetus
Abstract Heterotopic pregnancy occurs rarely following natural conception; however, intrauterine embryo transfer following IVF is a known risk factor for its occurrence. A 29‐year‐old woman presented with acute abdomen at 14w5d gestation following IVF‐ET treatment. A ruptured heterotopic gestation in the left fallopian tube was identified at laparoscopy and treated by salpingectomy. Subsequently, at 21‐week gestation, routine sonogram demonstrated bilateral ventriculomegaly in the intrauterine fetus. Fetal MRI was highly suggestive of ischemic brain injury, most likely attributable to the maternal hypovolemic shock...
Source: Prenatal Diagnosis - June 1, 2015 Category: Perinatology & Neonatology Authors: Mohammad Ezzati, Alireza A. Shamshirsaz, Sina Haeri Tags: Research Letter Source Type: research

Diabetes: Study finds bariatric surgery beats diet, exercise
A study designed to compare bariatric surgery with lifestyle interventions found that Type II diabetics treated with gastric bypass or banding procedures fared better than patients who watched their diets and exercised. Results from “Bariatric Surgery versus Intensive Medical Therapy for Diabetes – 3-Year Outcomes,” which was funded by Johnson & Johnson (NYSE:JNJ) subsidiaries Ethicon and LifeScan, the Cleveland Clinic and the National Institutes of Health, were published online yesterday in the Journal of the American Medical Assn. The 3-year, 61-patient study randomized obese subjects 1 of 3 arms: Ro...
Source: Mass Device - July 2, 2015 Category: Medical Equipment Authors: Brad Perriello Tags: Clinical Trials Weight loss Journal of the American Medical Assn. (JAMA) Source Type: news

Dynamic Arterial Elastance in Predicting Arterial Pressure Increase After Fluid Challenge During Robot-Assisted Laparoscopic Prostatectomy: A Prospective Observational Study
Abstract: During robot-assisted laparoscopic prostatectomy, specific physiological conditions such as carbon dioxide insufflation and the steep Trendelenburg position can alter the cardiac workload and cerebral hemodynamics. Inadequate arterial blood pressure is associated with hypoperfusion, organ damage, and poor outcomes. Dynamic arterial elastance (Ea) has been proposed to be a useful index of fluid management in hypotensive patients. We therefore evaluated whether dynamic Ea can predict a mean arterial pressure (MAP) increase ≥ 15% after fluid challenge during pneumoperitoneum and the steep Trendelenburg position. W...
Source: Medicine - October 1, 2015 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Hemodynamic Stability During Pheochromocytoma Resection: Lessons Learned Over the Last Two Decades
Conclusions Postoperative outcomes following pheo resection have improved over the last two decades. Preoperative α-blockade plays a significant role in improving intraoperative hemodynamics and post-op outcomes. Increased doses of phenoxybenzamine and utilization of laparoscopic approaches have likely contributed to improved outcomes in the last decade. Intraoperative magnesium use may provide protection against hemodynamic instability and warrants further study.
Source: Annals of Surgical Oncology - November 14, 2015 Category: Cancer & Oncology Source Type: research

Hemodynamic changes and stress response during BIS-guided TCI anesthesia with propofol-fentanyl in laparoscopic versus open cholecystectomy
Conclusion BIS-guided TCI anesthesia with propofol-fentanyl offers a good and safe anesthesia technique for patients undergoing either laparoscopic or open cholecystectomy. The hemodynamic stability guided by esophageal Doppler monitor makes it a very appealing choice.
Source: Egyptian Journal of Anaesthesia - November 27, 2015 Category: Anesthesiology Source Type: research

Paraneoplastic Neurological Syndrome in Fallopian Tube Cancer.
We report on a rare case of paraneoplastic syndrome (PS) that was discovered on completion of diagnostic work-up to be an undifferentiated fallopian tube carcinoma. A 49-year-old Caucasian woman was admitted to neurology with vertigo, gait ataxia and dysarthria, transient ischaemic attack (TIA) and stroke were quickly excluded. Indicative for the further diagnosis of a paraneoplastic syndrome was the identification of onconeuronal antibodies the detection of which can be associated with certain tumour entities. The strongly positive anti-Yo antibody that is formed above all by breast and lung cancers as well as ovarian can...
Source: Geburtshilfe und Frauenheilkunde - December 12, 2015 Category: OBGYN Tags: Geburtshilfe Frauenheilkd Source Type: research

Summary: International Kidney Cancer Symposium
Conclusions:  Ideal ischemia time is 20-25 minutes or less improves short and long term renal function.  >25 minutes carried 5 year risk of new onset stage 4 CKD No differences on GFR for cold vs. warm ischemia times Preoperative GFR and the percent of kidney preserved was a better predictor of post op GFR.  No ischemia preserves renal function better than warm. Longer cold ischemia times were equivalent to shorter warm ischemia times. Quality and quantity of the remaining kidney is associated with ultimate renal function. Robotics in RCC Surgery Gennady Bratslavsky, MD The...
Source: Kidney Cancer Association - December 15, 2011 Category: Urology & Nephrology Source Type: news

Minimally-invasive volaemic monitoring through stroke volume variation leads to better intraoperative outcomes in laparoscopic hepatic surgery
Objectives: Intraoperative volaemic control is a mainstay of protocols aiming at faster functional recovery after surgery. In particular, hypovolaemia has major positive effects in laparoscopic liver surgery, with reduced morbidity and mortality rate due to lower bleeding and consequent conversion rate to open surgery. Central venous pressure (CVP) has traditionally been used as a marker of cardiac preload, but its liability in laparoscopy is uncertain due to pneumoperitoneum and patient’s position.
Source: Clinical Nutrition ESPEN - March 31, 2016 Category: Nutrition Authors: Raffaella Reineke, Roberta Meroni, Francesca Ratti, Luca Aldrighetti, Luigi Beretta Source Type: research

MassDevice.com +5 | The top 5 medtech stories for April 21, 2016
Say hello to MassDevice +5, a bite-sized view of the top five medtech stories of the day. This feature of MassDevice.com’s coverage highlights our 5 biggest and most influential stories from the day’s news to make sure you’re up to date on the headlines that continue to shape the medical device industry. Get this in your inbox everyday by subscribing to our newsletters.   5. US gov’t delays CMS hospital rating system The Obama Administration is holding off from publishing new hospital-quality ratings over concerns raised by healthcare providers and Congress over the methodology of the ratings sys...
Source: Mass Device - April 21, 2016 Category: Medical Equipment Authors: MassDevice Tags: News Well Plus 5 Source Type: news

Endometriosis and Risk of Coronary Heart Disease Original Articles
Conclusions— In this large, prospective cohort, laparoscopically confirmed endometriosis was associated with increased risk of CHD. The association was strongest among young women. Hysterectomy/oophorectomy was associated with higher risk of CHD and could partially explain the association between endometriosis and CHD.
Source: Circulation: Cardiovascular Quality and Outcomes - May 16, 2016 Category: Cardiology Authors: Mu, F., Rich-Edwards, J., Rimm, E. B., Spiegelman, D., Missmer, S. A. Tags: Cardiovascular Disease, Epidemiology, Risk Factors, Quality and Outcomes Original Articles Source Type: research

Efficacy of intravenous fluid warming during goal-directed fluid therapy in patients undergoing laparoscopic colorectal surgery: a randomized controlled trial
Conclusion IV fluid warming was associated with a smaller drop in core temperature than room temperature IV fluids in laparoscopic colorectal surgery incorporating goal-directed fluid therapy.
Source: Journal of International Medical Research - May 24, 2016 Category: Research Authors: Choi, J.-W., Kim, D.-K., Lee, S.-W., Park, J.-B., Lee, G.-H. Tags: Research Reports Source Type: research

Laparoscopic cholecystectomy in an adult moyamoya disease case
Moyamoya disease (MMD) is a progressive disorder caused by blocked arteries or spontaneous occlusion of the blood vessels of the circle of Willis with compensatory collateral vasculature; it is an increasingly recognized cause of stroke [1,2]. Anesthetic management of patients with MMD is challenging because appropriate control of hemodynamic state and ventilation is required to prevent neurologic adverse events. We previously reported the perioperative management of video-assisted thoracoscopic surgery in an adult patient with MMD [3].
Source: Journal of Clinical Anesthesia - September 23, 2016 Category: Anesthesiology Authors: Toshiyuki Nakanishi, Misa Ukeda, Takashi Toriumi Tags: Correspondence Source Type: research

Posterior cerebral stroke: An unusual cause of postoperative bilateral sensorineural hearing loss after laparoscopic surgery
Jyotsna Punj, Nagaraj , Divya , P Preetam, Vanlal Darlong, Ravindra PandeyJournal of Anaesthesiology Clinical Pharmacology 2016 32(4):528-530
Source: Journal of Anaesthesiology Clinical Pharmacology - November 25, 2016 Category: Anesthesiology Authors: Jyotsna Punj Nagaraj Divya P Preetam Vanlal Darlong Ravindra Pandey Source Type: research