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Procedure: Laparotomy

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Total 58 results found since Jan 2013.

Stroke affects intestinal immune cell trafficking to the central nervous system
Brain Behav Immun. 2021 May 11:S0889-1591(21)00189-6. doi: 10.1016/j.bbi.2021.05.008. Online ahead of print.ABSTRACTStroke is an acute neurological disease with a strong inflammatory component that can be regulated by the intestinal microbiota and intestinal immune cells. Although stroke has been shown to alter immune cell populations in the gut, the dynamics of cell trafficking have not been elucidated. To study the trafficking of gut-derived immune cells after stroke, we used mice expressing the photoconvertible protein Kikume Green-Red, which turns form green to red when exposed to violet light. Mice underwent laparotom...
Source: Brain, Behavior, and Immunity - May 14, 2021 Category: Neurology Authors: David Brea Carrie Poon Corinne Benakis Gabrielle Lubitz Michelle Murphy Costantino Iadecola Josef Anrather Source Type: research

Mini fluid chAllenge aNd End-expiratory occlusion test to assess flUid responsiVEness in the opeRating room (MANEUVER study): A multicentre cohort study
CONCLUSION In patients undergoing laparotomy the mini-FC reliably predicted fluid responsiveness with high-sensitivity and specificity. The EEOT showed poor discriminative value and cannot be recommended for assessment of fluid responsiveness in this surgical setting. TRIAL REGISTRATION NCT03808753.
Source: European Journal of Anaesthesiology - March 10, 2021 Category: Anesthesiology Tags: Haemodynamics Source Type: research

Diaphragm Preservation Reduces Respiratory Failure after Extent I Thoraco-Abdominal Aneurysm Repair.
CONCLUSIONS: In patients undergoing extent I TAAA repair, TCS is associated with decreased need for tracheostomy. PMID: 33359719 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Gambardella I, Lau C, Rahouma M, Iannacone E, Farrington W, Gaudino M, Girardi LN Tags: Ann Thorac Surg Source Type: research

Winslow pathway collaterals: an unusual arterial network in Takayasu arteritis.
We present a case of a young male with Takayasu arteritis with middle aortic syndrome and Winslow pathway collaterals with lower limb ischaemia, hypertension, coronary occlusion and stroke. The extensive collateral formation was visible as a clinical finding over the abdominal wall. The identification of these collateral pathways is essential in understanding the extent of haemodynamically significant disease and it alerts to the possibility of surgical injury during procedures like laparotomy or harvesting of internal thoracic artery for coronary artery bypass graft. PMID: 32936107 [PubMed - as supplied by publisher]
Source: Journal of the Royal College of Physicians of Edinburgh - September 17, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

End-Expiratory Occlusion Test to Predict Fluid Responsiveness Is Not Suitable for Laparotomic Surgery.
CONCLUSIONS: End-expiratory occlusion test was not reliable to discriminate responders from nonresponders after volume expansion during laparotomic surgery. PMID: 31846441 [PubMed - in process]
Source: Anesthesia and Analgesia - December 19, 2019 Category: Anesthesiology Authors: Weil G, Motamed C, Monnet X, Eghiaian A, Le Maho AL Tags: Anesth Analg Source Type: research

Increased suicide risk among patients oophorectomized following benign conditions and its association with comorbidities.
Conclusion: A significant increase in suicide rate among oophorectomized women aged 20-49 years was found. The decision to perform oophorectomy should be made cautiously, especially in patients with hypertension, COPD, chronic liver disease and cirrhosis or anxiety disorder. Patients should be followed for at least 6 years postoperatively since the suicide rate is significantly higher in this period. PMID: 31462149 [PubMed - as supplied by publisher]
Source: Journal of Psychosomatic Obstetrics and Gynaecology - August 31, 2019 Category: OBGYN Tags: J Psychosom Obstet Gynaecol Source Type: research

Perioperative Fluid Administration in Pancreatic Surgery: a Comparison of Three Regimens
ConclusionIn patients undergoing pancreatic surgery, a restricted or individually guided GD strategy for management of perioperative fluids can result in fewer complications than a liberal fluid strategy. Larger and randomized investigations are warranted to confirm these data on this domain.
Source: Journal of Gastrointestinal Surgery - April 2, 2019 Category: Surgery Source Type: research

Efficacy and Safety of Prothrombin Complex Concentrate (PCC) for Direct Oral Anticoagulant Reversal: A Single Institutional Experience
ConclusionIn this cohort, 80% of pts demonstrated clinical stability/improvement of hemorrhage. All pts were able to undergo surgical procedures; however 17% required additional FFP to achieve hemostasis. Thromboembolism occurred in 12% of patients. No deaths could definitely be attributed to 4PCC; however, 30% of deaths could be attributable to the underlying hemorrhagic episode.DisclosuresNo relevant conflicts of interest to declare.
Source: Blood - November 21, 2018 Category: Hematology Authors: Sridharan, M., Ou, N. N., Oyen, L. J., Ashrani, A. A., McBane, R. D., Pruthi, R. K. Tags: 332. Antithrombotic Therapy: Poster II Source Type: research

Appeals court slashes $50m from J & J stapler suit damages
Johnson & Johnson (NYSE:JNJ) subsidiary Ethicon had approximately $50 million slashed from punitive damages it owes in a product liability suit over its PPH 03 hemorrhoid stapler, according to recently released court documents. In December 2015, a California state jury awarded the plaintiff in the case, Florence Kuhlmann, $70 million in punitive damages on top of an initial $9.8 million in compensatory damages. This week, the Court of Appeals for the State of California’s First Appellate District, Division Five, cut the punitive damages down to $19.6 million, or two times the compensatory damages it owes. The court...
Source: Mass Device - June 15, 2018 Category: Medical Devices Authors: Fink Densford Tags: Product Liability Surgical Ethicon johnsonandjohnson Source Type: news

Severe Symptoms, but a Truly Treatable Disease
​BY NOURA MAHDI; DARRON LEWIS; JEREMY OSBORNE; & AHMED RAZIUDDIN, MDA 73-year-old man was brought to the emergency department from his nursing home for rectal bleeding and anemia. The patient mentioned he had had episodes of bright red rectal bleeding and constipation for a few months. A colonoscopy had been done prior to the visit, which revealed a large intestine tumor and biopsy confirming adenocarcinoma. He was awaiting an appointment with his surgeon.The patient reported bloody rectal leakage, and a CBC done at the nursing home showed a hemoglobin level of 7.2. He also complained of dyspnea but denied any other ...
Source: The Case Files - March 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Diagnosing a painful abdominal hernia
Clinical introduction An 83-year-old man with a longstanding incisional hernia presented to the ED with a 48-hour history of vomiting and constipation. His medical history included thrombotic stroke, congestive cardiac failure, hypertension, chronic obstructive pulmonary disease and large bowel resection. The patient was tachypnoeic. All other observations were stable. Examination revealed a distended abdomen with a hernia protruding beneath a midline laparotomy scar. The superior portion of the hernia was reducible and the edges of the wide defect palpable. However, inferiorly there was a firm, irreducible tender knuckle ...
Source: Emergency Medicine Journal - May 24, 2017 Category: Emergency Medicine Authors: Nagra, N. S., Cox, M. P., Nana, G. R., Isherwood, J. Tags: EMJ Image Challenge 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

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