Abstract
We report our technique that uses adjunctive intraoperative injection of sodium morrhuate, 5%, under direct visualization into lymphangioma channels prior to excision. We believe that in the hands of experienced orbital surgeons, and with appropriate preoperative evaluation and careful surgical tech...
|
PMID: 21825192
PDF is available here.
Abstract
Perioperative risk in vascular medicine is particularly high due to the increased prevalence of cardiovascular comorbidity. Therefore, it is of the utmost importance that during periprocedural management the patient remains in good general condition and that the patient is mobilized as soon as possib...
|
PMID: 21780051
PDF is available here.
Abstract
We critically appraise the literature to identify unifying features and determine whether specific management can be recommended. We found 18 clinical reports of anaesthesia including a total of 28 patients, most under general anaesthesia. Those with an implanted defibrillator should have it deactiv...
|
PMID: 21823372
PDF is available here.
Abstract
The major issue with intraoperative cholangiography (IOC) is whether its diagnostic accuracy for common bile duct (CBD) stones matches that of other diagnostic procedures, and thus, whether it will become a routine diagnostic procedure. The current study aimed to address the main det...
|
PMID: 21669576
PDF is available here.
Abstract
Although many smaller studies have addressed anaesthetic care for bariatric surgical patients, comprehensive systematic literature reviews have yet to be compiled, and much evidence includes expert panel opinion. This review summarises study results in bariatric surgical patients regarding pre-anaest...
|
PMID: 21516916
PDF is available here.
Abstract
The endoscopic examination revealed a matter and of a blackish appearance nasal mucosa along the whole length of the left nasal cavity (septum, turbinates, floor, ceiling). Presumptive diagnosis of melanoma led to the excision of inferior and middle turbinate mucosa, floor and ceiling mucosa and the...
|
PMID: 21655660
PDF is available here.
Abstract
Our retrospective electronic database review was performed on adult subjects that had a primary, non-emergent cardiac surgery in the last four years. The records of 936 patients were analyzed to find 193 patients meeting inclusion criteria. Due to the low number of 7.0 ETTs used in the study, this g...
|
PMID: 21954654
PDF is available here.
Abstract
Parathyroid scintigraphy (SPECT/CT) and radioguided surgery are effective methods on the localization and treatment of PHP due to ectopic adenomas. In our study the radioguided parathyroidectomy was successful in all cases and there was no evidence of persistent or recurrent hyperparathyroidism on t...
|
PMID: 21208692
PDF is available here.
Abstract
We are to reduce variability in clinical and anesthetic approaches as well as lower the rates of morbidity and mortality and shorten the hospital stay of patients undergoing exclusion of an aneurysm....
|
PMID: 21298908
PDF is available here.
Abstract
Although hypothermic selective cerebral perfusion (SCP) is widely used for cerebral protection during aortic surgery, little is known about the ideal pump-flow management during this procedure. This study explored cerebral hemodynamics and metabolism at two different flow rates.
Fourteen pigs (33 to...
|
PMID: 21095348
PDF is available here.
Abstract
We planned a feasibility study based on a theoretical model in order to assess a new technique to estimate the quantity of fat by conducting bioimpedance measurements using a multi-electrode probe. The finite element method was used to solve the electrical problem. The results showed that the measur...
|
PMID: 20952818
PDF is available here.
Abstract
Patients were (mean ± SD) 56 ± 18 yr old with a body mass index of 30 ± 7.1 kg/m. Minute ventilation was 6.32 ± 3.24 l/min with one hand and 7.95 ± 2.70 l/min with two hands. The tidal volume was 6.80 ± 3.10 ml/kg predicted body weight with one hand and 8.60 ± 2.31 ml/kg predicted body weight...
|
PMID: 20808210
PDF is available here.
Abstract
Skin-sparing mastectomy has been associated with flap ischemia and necrosis. Current clinical methods for assessment of flap viability following mastectomy are largely subjective and lack objective data to guide intraoperative decisions. Intraoperative laser-assisted indocyanine green angiography (L...
|
PMID: 20539977
PDF is available here.
Abstract
I indications, but its use in class II indications also had a significant impact. No cases of morbidity or mortality were found.
Our findings suggest that intraoperative TEE should be used routinely in all patients undergoing cardiac surgery....
|
PMID: 21179978
PDF is available here.
Abstract
The aim of the study was to estimate the direct cost of an abdominal aortic aneurysm (AAA) repair and to validate it against the national Diagnostic Related Group (DRG) costs.
Records from involved hospitals were used along with information on wages, cost of ICU and ward time were used to estimate t...
|
PMID: 20727285
PDF is available here.
Abstract
Advances in imaging quality and capability have been the major driver of the laparoscopic revolution that has dramatically impacted upon operative strategies and surgical patient care in recent years. Increasingly now the technological capacity is becoming available to supraselect or extend the usef...
|
PMID: 20802433
PDF is available here.
Abstract
We describe a very simple and innovative technique of using the arterial line for reliable recording of arterial oxygen saturation (SpO(2)) in such patients. We conclude that the arterial line can be used as an extension of the artery and SpO(2) may be reliably measured using the arterial line in su...
|
PMID: 20635123
PDF is available here.
Abstract
Very fine ultrasonographic images of the resected specimen could be easily obtained without any special skills, and surgical clearance could be verified intraoperatively. The ultrasonographic tumor thickness measurements corresponded well with those of histologic sections, with a consistency ratio o...
|
PMID: 20031291
PDF is available here.
Abstract
Intraoperative diagnosis of sentinel node metastases enables an immediate decision to proceed to axillary lymph node dissection, avoiding a second operation in node-positive women with breast cancer.
An optical scanner was developed that interrogated the cut surface o...
|
PMID: 20593429
PDF is available here.
Abstract
These results suggest that intraoperative OCT has the potential to assess the real-time node status in situ, without having to physically resect and histologically process specimens to visualize microscopic features....
|
PMID: 20659842
PDF is available here.
Abstract
Preoperative MR imaging was accurate for the prediction of tumor invasion into structures with negative predictive values of 93%-100% and areas under receiver operating characteristic curves of 0.79-1.00 for all structures and observers. Positive predictive values were 53%-100%. Disease was overstag...
|
PMID: 20574091
PDF is available here.
Abstract
We therefore investigated if insufflation of an open surgical wound with carbon dioxide would affect wound temperature. In 10 patients undergoing cardiac surgery, the sternotomy wound was insufflated with dry, room temperature carbon dioxide via a gas diffuser for 2 minutes. A heat-sensitive camera...
|
PMID: 20636552
PDF is available here.
Abstract
We report the case of a 74-year-old man with protein C deficiency and heterozygous prothrombin G20210A gene mutation who had a successful left THA with perioperative administration of human zymogen protein C concentrate in addition to anticoagulation with enoxaparin. LITERATURE REVIEW: Several studi...
|
PMID: 20012238
PDF is available here.
Abstract
One 20-mg per kg intraoperative dose of tranexamic acid reduced the perioperative decrease in hemoglobin and red blood cell transfusion rates in patients having TKA and THA compared with those of a similar cohort of patients in whom the protocol was not used. This weight increment dosing facilitated...
|
PMID: 20063079
PDF is available here.
Abstract
We analyzed retrospective data from 239,286 patients 65 years of older who underwent major noncardiac surgery in 1997 to 2004 at veteran hospitals nationwide. Propensity-score matching was used to adjust for differences between patients who received intraoperative blood transfusions (9.4%) and those...
|
PMID: 20505504
PDF is available here.
Abstract
Handheld anterior segment OCT can be used to assess the host-donor interface in lamellar corneal transplantation surgery. Donor adherence can occur in spite of residual interface space at the end of surgery. Further studies should be conducted to answer the question of which surgical steps are usefu...
|
PMID: 20591396
PDF is available here.
Abstract
Endoscopic sinus surgery is commonly performed and has a low risk of major complications. Intraoperative bleeding impairs surgical conditions and increases the risk of complications. Remifentanil appears to produce better surgical conditions than other opioid analgesics, and total in...
|
PMID: 20560885
PDF is available here.
Abstract
Subconjunctival injection of MMC 0.02% (0.1 ml of 0.02% solution) 1 month before bare scleral excision is a quick, easy, and safe surgical procedure and is at least as effective as conjunctival rotational flap with intraoperative MMC for 2 minutes.
Copyright © 2010 Elsevier Inc. All...
|
PMID: 20570240
PDF is available here.
Abstract
We provide a decision tree which will be helpful to both general practitioners and specialists....
|
PMID: 20572354
PDF is available here.
Abstract
The study demonstrates that FPP is a critical measurement for surgical procedure selection in patients with portal hypertension. A FPP value >or=22 mmHg after splenectomy and devascularization alone is an important indicator that an additional proximal splenorenal shunt needs to be performed....
|
PMID: 20525554
PDF is available here.
Abstract
We analyzed 179 SLN from 110 patients. The comparison between ITIC and final results of the SLN showed 139 (77.6%) true negative imprints, and 28 (15.6%) true positive. There were 12 (6.70%) false negative (FN) imprints which included 6 macrometastases, 3 micrometastases, and 3 isolated tumor cells....
|
PMID: 19296239
PDF is available here.
Abstract
Cystic fibrosis (CF) is a fatal genetic disorder that affects many organ systems in the body. Historically, few patients with CF lived beyond early childhood, but with continuous improvement in treatment modalities, quality of life and the life span of persons with CF has greatly improved. As the su...
|
PMID: 20572412
PDF is available here.
Abstract
The application of pumpless iLA was hemodynamically well tolerated, and allowed for safe procedures in respiratory compromised patients, avoiding the application and consequences of cardiopulmonary bypass or pump-driven extracorporeal membrane oxygenation.
2010 The Society of Thoracic Surgeons. Publ...
|
PMID: 20494028
PDF is available here.
Abstract
We observed neurological deterioration immediately postoperatively in 13 patients, but all patients fully recovered within 6 months except for four patients. A long cardiac arrest time reflected complex pathoanatomical conditions. We conclude that the clipping procedure under deep hypothermia and ci...
|
PMID: 20108105
PDF is available here.
Abstract
We report our experience in pediatric patients supported by ECMO for intraoperative cardiac failure between November 1991 and December 2006.
Sixty-six patients with a mean age of 5.2+/-4 years (range: 1 day-17 years) and mean weight of 14.3+/-11 kg (range: 2.8-69 kg) had intraoperati...
|
PMID: 20139198
PDF is available here.
Abstract
We report our experience in pediatric patients supported by ECMO for intraoperative cardiac failure between November 1991 and December 2006.
Sixty-six patients with a mean age of 5.2+/-4 years (range: 1 day-17 years) and mean weight of 14.3+/-11 kg (range: 2.8-69 kg) had intraoperati...
|
PMID: 20139198
PDF is available here.
Abstract
We report our experience in pediatric patients supported by ECMO for intraoperative cardiac failure between November 1991 and December 2006.
Sixty-six patients with a mean age of 5.2+/-4 years (range: 1 day-17 years) and mean weight of 14.3+/-11 kg (range: 2.8-69 kg) had intraoperati...
|
PMID: 20139198
PDF is available here.
Abstract
We report our experience in pediatric patients supported by ECMO for intraoperative cardiac failure between November 1991 and December 2006.
Sixty-six patients with a mean age of 5.2+/-4 years (range: 1 day-17 years) and mean weight of 14.3+/-11 kg (range: 2.8-69 kg) had intraoperati...
|
PMID: 20139198
PDF is available here.
Abstract
We report our experience in pediatric patients supported by ECMO for intraoperative cardiac failure between November 1991 and December 2006.
Sixty-six patients with a mean age of 5.2+/-4 years (range: 1 day-17 years) and mean weight of 14.3+/-11 kg (range: 2.8-69 kg) had intraoperati...
|
PMID: 20139198
PDF is available here.
Abstract
We report our experience in pediatric patients supported by ECMO for intraoperative cardiac failure between November 1991 and December 2006.
Sixty-six patients with a mean age of 5.2+/-4 years (range: 1 day-17 years) and mean weight of 14.3+/-11 kg (range: 2.8-69 kg) had intraoperati...
|
PMID: 20139198
PDF is available here.
Abstract
Kidney transplantation is the main therapeutic alternative for patients with end-stage renal failure. However, the main constraint at present is the lack of available organs. Removal of a kidney from a live donor is a better option than conventional transplantation of a cadaver-donated organ. Among...
|
PMID: 20527345
PDF is available here.
Abstract
A wide dissection of Calot's triangle to provide a critical view of safety is the technique most commonly recommended by AUGIS surgeons (83%) to minimise risk of bile duct injury, in contrast to 24% that recommend routine IOC. The majority (88%) of AUGIS surgeons advise index admission cholecystecto...
|
PMID: 20501016
PDF is available here.
Abstract
Radiation doses administered during fluoroscopically-assisted ACL reconstruction were safe and do not represent a contra-indication to the procedure....
|
PMID: 20501019
PDF is available here.
Abstract
We treated a patient with severe mitral regurgitation associated with systolic anterior motion of the mitral valve that occurred after aortic valve replacement and a myectomy for aortic stenosis and hypertrophic obstructive cardiomyopathy. A 76-year-old woman with aortic stenosis and hypertrophic ob...
|
PMID: 20486580
PDF is available here.
Abstract
We examined the cause of difficulty in intubation of the left bronchus in the decubitus position with 3DCT. We concluded that the cause is the increase in the size of the angle, and for the tube to be intubated in the left bronchus, the patient position must be changed from the flexional position....
|
PMID: 20486584
PDF is available here.
Abstract
We report a case of severe hyperkalemia which developed following administration of mannitol during craniotomy. The blood potassium levels rose from 4.8 mEq x l(-1) to 6.7 mEq x l(-1) 30 minutes after the infusion of mannitol 300 ml during the operation for brain tumor. Since the patient did not dev...
|
PMID: 20486581
PDF is available here.