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Total 161 results found since Jan 2013.

Multidisciplinary perioperative protocol in patients undergoing acute high ‐risk abdominal surgery
ConclusionThe introduction of a multidisciplinary perioperative protocol was associated with a significant reduction in postoperative mortality in patients undergoing AHA surgery. NCT01899885 (http://www.clinicaltrials.gov).
Source: British Journal of Surgery - December 31, 2016 Category: Surgery Authors: L. T. Tengberg, M. Bay ‐Nielsen, T. Bisgaard, M. Cihoric, M. L. Lauritsen, N. B. Foss, Tags: Original article Source Type: research

Multidisciplinary perioperative protocol in patients undergoing acute high-risk abdominal surgery.
CONCLUSION: The introduction of a multidisciplinary perioperative protocol was associated with a significant reduction in postoperative mortality in patients undergoing AHA surgery. NCT01899885 (http://www.clinicaltrials.gov). PMID: 28112798 [PubMed - as supplied by publisher]
Source: The British Journal of Surgery - January 22, 2017 Category: Surgery Authors: Tengberg LT, Bay-Nielsen M, Bisgaard T, Cihoric M, Lauritsen ML, Foss NB, AHA study group Tags: Br J Surg Source Type: research

Role of Endoscopic Gastroplasty Techniques in the Management of Obesity.
Authors: Jung Y Abstract Health and wellness represent a major global concern. Trends such as a lack of exercise and excessive consumption of calories are major causes of the rapid increase in obesity worldwide. Obesity should be controlled because it can result in other illnesses, such as diabetes, high blood pressure, high cholesterol, coronary artery disease, stroke, breathing disorders, or cancer. However, many people have difficulty in managing obesity through exercise, dietary control, behavioral modifications, and drug therapy. Bariatric surgery is not commonly used due to a variety of complications, even th...
Source: Clinical Endoscopy - February 5, 2017 Category: Gastroenterology Tags: Clin Endosc Source Type: research

Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery A Randomized Controlled Trial
Conclusions Intraoperative goal-directed fluid therapy compared with fluid therapy based on traditional principles does not reduce primary postoperative ileus in patients undergoing laparoscopic colorectal surgery in the context of an Enhanced Recovery After Surgery program. Its previously demonstrated benefits might have been offset by advancements in perioperative care.
Source: Anesthesiology - June 20, 2017 Category: Anesthesiology Source Type: research

Laparoscopic Conversion of Single Anastomosis Duodenal Switch to Roux-en-Y Gastric Bypass for Gastroparesis
54-year-old male with history of morbid obesity BMI 52, multiple sclerosis, DM, OSA on CPAP, Stroke, GERD, and arthritis. The patient underwent successful single anastomosis biliopancreatic diversion but developed severe bile reflux and vomiting. Decision was made for conversion to laparoscopic RYGB.
Source: Surgery for Obesity and Related Diseases - October 1, 2017 Category: Surgery Authors: Rena Moon, Lars Nelson, Andre Teixeira, Muhammad Jawad Source Type: research

Does pneumoperitoneum affect perfusion index and pleth variability index in patients receiving combined epidural and general anesthesia?
Authors: Wajima Z, Shiga T, Imanaga K Abstract Plethysmographic variability index (PVI) is a dynamic index used for the purpose of fluid responsiveness in patients, and the effect of pneumoperitoneum on PVI is still unclear. We therefore attempted to determine whether PVI and perfusion index (PI) change before/after pneumoperitoneum in patients receiving combined epidural and general anesthesia, which is a common anesthesia method with intravenous remifentanil. Twenty patients underwent laparoscopic cholecystectomy or colectomy. Immediately before pneumoperitoneum, variables were measured at baseline I and were the...
Source: BioScience Trends - December 20, 2017 Category: Biomedical Science Tags: Biosci Trends Source Type: research

Positive end-expiratory pressure-induced increase in external jugular venous pressure does not predict fluid responsiveness in laparoscopic prostatectomy
ConclusionOur study results suggested that SVV and increase in EJVP after applying PEEP were not accurate predictors of fluid responsiveness during RALP. Further studies are required to find an adequate preload index in robot-assisted urologic surgery with steep Trendelenburg position.
Source: Journal of Anesthesia - February 27, 2018 Category: Anesthesiology Source Type: research

EVAR for aortic abdominal aneurysms: A 20-year's experience of 1900 patients.
[EVAR for aortic abdominal aneurysms: A 20-year's experience of 1900 patients]. Presse Med. 2018 Mar 11;: Authors: Desgranges P, Kobeiter H, Cochennec F, Tacher V, Touma J, Majewski M, Marzelle J, Allaire É, Becquemin JP Abstract Abdominal aortic aneurysms (AAA), also called "silent killer" as they grow without symptoms until the final rupture, are the 3rd cause of cardiovascular deaths, after myocardial infarction and stroke. Surgery is the only efficient way of preventing aortic rupture. The initial technique, described by Charles Dubost in 1952 has evolved and results and provides fair long-term ...
Source: Presse Medicale - March 11, 2018 Category: General Medicine Authors: Desgranges P, Kobeiter H, Cochennec F, Tacher V, Touma J, Majewski M, Marzelle J, Allaire É, Becquemin JP Tags: Presse Med Source Type: research

5 Trends Medtech Should Be Talking About
Recently I chatted with Candace Roulo, managing editor of Advanced Manufacturing Now, about some of the most important trends in medtech and the technologies that are taking the industry to the next level. Click below to listen to the podcast, or read on for select highlights of the conversation – what I consider to be five trends medtech professionals should be talking about. 128-Advanced_Manufacturing_Now-UBM.mp3 Explore all of these trends in depth at the BIOMEDevice Boston Conference and Expo, April 18-19, 2018. Use promo code "SAVE100" for $100 off conference registration and free expo access. 1. Muc...
Source: MDDI - April 6, 2018 Category: Medical Devices Authors: Amanda Pedersen Tags: BIOMEDevice Boston Business Digital Health Source Type: news

Laparoscopic Sleeve Gastrectomy in Patients with Heart Failure and Left Ventricular Assist Devices as a Bridge to Transplant
Obesity is an epidemic that is progressive, costly, and closely associated with cardiac disease and death. Obesity causes structural and functional changes in the heart due to increases in metabolic demand, total blood volume, and stroke volume, all of which cause left ventricular dilation, cardiac muscle hypertrophy, and atrial enlargement [1,2]. Heart failure is a deadly condition, affecting up to 5.8 million people in the United States with associated health care costs exceeding 30 billion dollars per year [3,4].
Source: Surgery for Obesity and Related Diseases - April 18, 2018 Category: Surgery Authors: Russell B Hawkins, Kristina Go, Steven L Raymond, Alexander Ayzengart, Jeffrey Friedman Source Type: research

Personalized Versus Protocolized Fluid Management Using Noninvasive Hemodynamic Monitoring (Clearsight System) in Patients Undergoing Moderate-Risk Abdominal Surgery.
Abstract Advances in noninvasive hemodynamic monitoring systems allow delivery of goal-directed fluid therapy and could therefore be used in less-invasive surgical procedures. In this randomized controlled trial, we compared closed-loop-assisted goal-directed fluid therapy using a noninvasive cardiac output (Clearsight system) monitor (personalized approach) to a protocolized fluid therapy approach in 40 patients undergoing moderate-risk laparoscopic abdominal surgery. Cardiac output and stroke volume variations were not significantly different in both groups and remained within predefined target values >90% of...
Source: Anesthesia and Analgesia - June 5, 2018 Category: Anesthesiology Authors: Joosten A, Raj Lawrence S, Colesnicenco A, Coeckelenbergh S, Vincent JL, Van der Linden P, Cannesson M, Rinehart J Tags: Anesth Analg 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 opening question ...
Source: Kidney Cancer Association - December 15, 2011 Category: Urology & Nephrology Source Type: news

Challenge to the Intestinal Mucosa During Sepsis
Conclusion The impact of sepsis on the gut is manifold, e.g., sepsis mediated alteration of the gut-blood barrier and increase in the intestinal permeability, which may correlate with the phenomena of bacterial translocation and lymphatic activation (“toxic-lymph”). Systemic consequences of sepsis are widespread and concern to the coagulative system, the microbiome as well as enzymes, such as pancreatic proteases, MMPs and IAPs. Nevertheless, the therapeutic approaches for modulating the mucosal immune system are still rarely effective in daily routine. Recent published studies showing that treatment with ...
Source: Frontiers in Immunology - April 29, 2019 Category: Allergy & Immunology Source Type: research

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