Abstract
This article provides an overview of the care of patients following liver transplantation. It focuses on the immediate post-operative care, the role of the transplant co-ordinator in providing support and education and the long-term follow up required to promote health and quality of life in this spe...
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PMID: 21905380
PDF is available here.
Abstract
To investigate the rate of immediate persistent bleeding requiring haemostasis and of delayed bleeding after endoscopic sphincterotomy in liver transplanted patients.
Clinical records of patients who underwent endoscopic sphincterotomy at our Center between January 20...
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PMID: 21818053
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...
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PMID: 21823372
PDF is available here.
Abstract
Evaluate the anti-inflammatory efficacy of intracameral triamcinolone acetonide and gentamicin injections compared with topical dexamethasone and tobramycin combination eye drops in cataract surgery patients.
The present prospective study enrolled 60 patients schedule...
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PMID: 21774289
PDF is available here.
Abstract
A total of 123 patients with 124 clean surgical wounds were recruited into the study. The mean age and ratio of men and women in each group were comparable. There was no significant difference in the rate of wound complications between the two groups: 4.76% for the study group and 4.92% for contro...
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PMID: 21727881
PDF is available here.
Abstract
Management of the pancreatic remnant after distal pancreatectomy remains a clinically relevant problem and a significant clinical challenge. We evaluated the safety and efficacy of duct-to-mucosa pancreaticogastrostomy for preventing pancreatic fistula development after distal pancreatectomy.
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PMID: 21600558
PDF is available here.
Abstract
One of the complications of total knee arthroplasty (TKA) which has not yet been directly addressed is pseudo-patella baja (PPB). True patella baja (PB) is present when the length of the patellar tendon becomes shorter. PPB is present when the patella tendon is not shortened, but the level of the joi...
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PMID: 21525812
PDF is available here.
Abstract
We evaluated the efficacy of a strategy based on intraoperative ECMO (i-ECMO) circuit extended into postoperative cardiopulmonary support....
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PMID: 21499226
PDF is available here.
Abstract
We recently reported that platelets accumulate in the liver immediately after extended hepatectomy and promote residual liver regeneration. Liver regeneration depends on the number of accumulated platelets in the sinusoids.
Male Sprague-Dawley rats underwent 70% hepatectomy and were...
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PMID: 21475016
PDF is available here.
Abstract
Mean preoperative IOP was similar in the two groups (35.1 ± 11.9 vs 37.0 ± 12.2 mm Hg; P = .60). At postoperative month 6, the ketorolac group had significantly lower IOP compared with the no ketorolac group (13.1 ± 3.7 vs 19.5 ± 9.3 mm Hg, respectively; P = .0003). There was no difference in the...
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PMID: 21449531
PDF is available here.
Abstract
The detected incidence of POUR at arrival in the recovery room was rather high but had easily identifiable risk factors. We recommend pre-operative voiding whenever possible. Routine bladder scanning at arrival in the recovery room should be considered, especially after spinal anaesthesia, emergency...
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PMID: 21418152
PDF is available here.
Abstract
There is a gap in the education of dental undergraduate students between theoretical knowledge and the practical procedure of tooth extraction. It was the aim of this study to implement and validate an undergraduate course for oral extraction using mannequin models, in order to enhance practical comp...
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PMID: 20873996
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...
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PMID: 21516916
PDF is available here.
Abstract
To evaluate the physical functioning of Ethiopian trichiasis surgery patients before and 6 months after surgery.
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PMID: 21333268
PDF is available here.
Abstract
As a result of injury caused by chronic gastroesophageal reflux, Barrett's esophagus with high grade dysplasia and esophageal adenocarcinoma are rapidly increasing problems in the United States. The current standard of care involves esophagectomy; a procedure associated with a high m...
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PMID: 21306292
PDF is available here.
Abstract
A 63-year-old man with a history of liver transplantation presented to our clinic complaining of visual disturbance. He had been receiving tacrolimus (FK 506) for 30 months (6 mg/day for 2 years and 3 mg/day for 6 months); he reported that the visual disturbance began while taking tacrolimus. A full...
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PMID: 21350701
PDF is available here.
Abstract
Little is known about the use of breast MRI as a diagnostic or surveillance tool in patients after bilateral mastectomy. The objective of this study was to evaluate breast MRI after bilateral mastectomy. Participants consisted of 48 women with prior bilateral mastectomy who underwent...
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PMID: 21337876
PDF is available here.
Abstract
We have developed a new surgical treatment method using a gluteal-fold flap (GFF) for anal stricture after total ISR....
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PMID: 21212967
PDF is available here.
Abstract
We investigated current severe TBI practices in Japan.
A questionnaire regarding management of severe TBI was sent to each of the 384 Japanese Neurosurgical Society specialist training medical centers and answers were received by mail from 233 centers (60.7%).
Of the...
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PMID: 21600513
PDF is available here.
Abstract
The several anatomical variations existing in the root canal system may contribute to failure of the root canal therapy. Knowledge of the internal dental morphology is a complex and extremely important point for planning and performing endodontic therapy. This paper reports the case of a left mandibu...
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PMID: 21655662
PDF is available here.
Abstract
Adhesions after endoscopic sinus surgery (ESS) are a potential cause of surgical failure. Mitomycin-C (MMC) is recently proposed as a solution for these adhesions. This study was performed to investigate the effect of Mitomycin C in reducing scar formation and adhesion in the nasal mucosa after endos...
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PMID: 21681698
PDF is available here.
Abstract
This article examines the symptoms and treatment of oesophageal cancer. The article focuses on the nurse's role in post-operative care of oesophagectomy patients. Alternative treatments available when surgery is not an option are also identified.
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PMID: 21563541
PDF is available here.
Abstract
Women undergoing surgery for ovarian cancer are severely ill and are high users of health services. Contributing to these increased utilization rates are the multiple modalities used to treat ovarian cancer and the complications and side effects from those treatments.
The purpose of this study was t...
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PMID: 21127451
PDF is available here.
Abstract
The objective of this study is to report a temporary, ex vivo, distal extremity revascularization technique providing distal perfusion and allowing for a staged repair of complex iliofemoral injury. In addition, the objective of this report is to provide outcome data after this novel procedure inclu...
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PMID: 21268307
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...
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PMID: 21954654
PDF is available here.
Abstract
Dexmedetomidine (DEX; Precedex) is an alpha-2 adrenergic receptor agonist that produces anxiolysis and sleep-like sedation without narcosis or respiratory depression and has relatively few cardiovascular side effects. Given its favorable sedative properties combined with its limited effects on hemod...
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PMID: 20959781
PDF is available here.
Abstract
The subject "fertility and cancer" becomes increasingly important due to a steadily improving of survival rates of young patients. It is essential for patients being informed about possible consequences of their cancer disease and required medical care concerning a prospective parenthood. Any loss of...
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PMID: 21120789
PDF is available here.
Abstract
We analysed a subgroup of patients with a functional single ventricle who underwent non-fenestrated total cavopulmonary connection completion with the insertion of an extracardiac conduit as the sole or predominant procedure conducted by a single surgeon at a single institute, using either an open o...
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PMID: 20810010
PDF is available here.
Aruna Turaka,
Tianyu Li,
Navesh K Sharma,
Linna Li,
Nicos Nicolaou,
Ranee Mehra,
Barbara Burtness,
Roger B Cohen,
Miriam N Lango,
Eric M Horwitz,
John A Ridge and
Steven J Feigenberg
Abstract
To determine the pattern of failures following intensity modulated radiation therapy for head and neck cancer.
A retrospective single institution study. Between May 2001 and June 2008, 176 patients with head and neck cancer were treated with intensity modulated radiation therapy at Fox Chase Cancer...
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PMID: 21063195
PDF is available here.
Abstract
I propose a simple, evidence-based, eight-item checklist that, if followed, should reduce the frequency of many of the most serious complications associated with cesarean delivery: endometritis, wound infection, wound disruption, thrombophlebitis, and uterine scar dehiscence in a subsequent pregnanc...
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PMID: 21099608
PDF is available here.
Abstract
We used a protocol based on dynamic insulin administration targeted to achieve moderately tight glycemic control and tested its impact on clinical outcomes after cardiac surgery.
Patients with diabetes mellitus or random blood glucose greater than 150 mg/dL were treated in the intensive care unit wi...
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PMID: 21095319
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....
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PMID: 21298908
PDF is available here.
Abstract
Biological attempts at disc regeneration are promising; however, disc degeneration is closely related to other predisposing factors such as alteration of disc height, intradiscal pressure, load distribution, and motion. The restoration of the physiological status of the affected spinal segment is th...
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PMID: 21039146
PDF is available here.
Abstract
Use of artificial biological material – acellular dermal matrix (Alloderm, ADM) – combined with pectoralis major myocutaneous flaps (PMMFs) or other cervical tissue is a feasible technique with which to reconstruct a large circumferential defect involving the oral cavity and hypopharynx.
This pa...
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PMID: 20459374
PDF is available here.
Abstract
To summarize recent findings on vitamin C status and assess the requirement and optimal dose of supplementation in surgical patients.
Blood vitamin C concentration falls after uncomplicated surgery and further decreases in surgical intensive care unit patients. The decline may be owing to increased...
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PMID: 20689415
PDF is available here.
Abstract
Some tibial fractures in children require surgical osteosynthesis, mostly achieved by an internal fixation. Indications for external fixation in the management of tibial fractures in children are limited to specific clinical situations when conventional treatments are contraindicated. The aim of thi...
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PMID: 20697296
PDF is available here.
Abstract
We believe there is a restoration of more physiological gait patterns in patients who receive this postoperative regimen....
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PMID: 21189191
PDF is available here.
Abstract
We evaluated the effect of DEX for sedation in patients undergoing cerebral aneurysm surgery.
Data were collected retrospectively from 49 patients admitted to the ICU after cerebral aneurysm surgery who were allocated into two groups: non-DEX(nDEX, n = 25) and DEX (n = 24).
In the nDEX group, two pa...
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PMID: 21077308
PDF is available here.
Abstract
We studied how these changes had affected postoperative management of patients after pleuropneumonectomy.
We retrospectively reviewed 22 patients who had undergone pleuropneumonectomy for malignant pleural mesothelioma from 2001 to 2008. They were divided into two groups; those before 2003 (n = 6) a...
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PMID: 21077309
PDF is available here.
Abstract
Patients undergoing upper digestive tract surgery are at risk for malnutrition and must be supported with careful nutritional management after a thorough assessment is performed. Parenteral nutrition is suitable for patients who cannot be fed enterally. However, total parenteral nutrition (TPN) has...
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PMID: 21174711
PDF is available here.
Abstract
The field of hepatobiliary-pancreatic surgery involves performing hepatectomy, pancreatectomy, and hepatopancreatoduodenectomy, which are all very invasive procedures. Since bile and pancreatic juice are associated with the etiology of disease, appropriate management is necessary for patients with c...
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PMID: 21174712
PDF is available here.
Abstract
The object of this study was to investigate the dimension change after bone of the outer mandibular table had been grafted to different facial recipient sites.
Six cases of hemifacial skeleton dysplasia had accepted therapeutics of onlay bone grafting at both mandibular angle and infraorbital region...
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PMID: 20948423
PDF is available here.
Abstract
Cardiac resynchronization therapy (CRT) can be a valuable treatment for heart failure. However, there are high nonresponse rates using current CRT inclusion criteria.
To assess the value of three-dimensional echocardiography (3DE) in predicting response to CRT.
Functional assessments and 3DE were pe...
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PMID: 21076720
PDF is available here.
Abstract
Bleeding after ear-nose-and throat surgery in children is a serious complication. With the help of the German Surveillance Unit for Rare Paediatric Disorders (Erhebungseinheit für seltene pädiatrische Erkrankungen in Deutschland; ESPED) a two year survey was performed to record the incidence, seve...
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PMID: 21042683
PDF is available here.
Abstract
Adduction of the forefoot is the most common residual deformity in idiopathic clubfoot. The 'bean-shaped foot', which is a term used to describe a clinical deformity of forefoot adduction and midfoot supination, is not uncommonly seen in resistant clubfoot.
Fifteen children (20 feet) with residual f...
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PMID: 20659361
PDF is available here.
Abstract
Our 8-hourly drainage-rate monitoring has facilitated safe earlier discharge of an additional 28 (65%) patients on the day after surgery. This has led to improvement in patient care, better optimisation of hospital resources and resulted in positive economic implications to the department....
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PMID: 20615307
PDF is available here.
Abstract
The peak incidence of venous thrombo-embolism (VTE) occurs 3 weeks following hip arthroplasty surgery and current guidelines proposing VTE prophylaxis continuing for 4 weeks after surgery. This study first compares the duration of treatment and satisfaction between patients prescribed low molecular...
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PMID: 20615303
PDF is available here.
Abstract
We used data from further hospital stays or information given by phone.
In 42 patients at intervals of 6 and 12 months, stable SR was documented in 7-day Holter monitoring in 18 patients (42.9%, 10/25 and 9/25 for PAF and 8/17 and 9/17 for persAF, respectively). Symptomatic episodes of AF were repo...
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PMID: 20635128
PDF is available here.