b,Objective,/b,: To compare the cost and cost-effectiveness of a policy of pre-operative optimisation of oxygen delivery (using either adrenaline or dopexamine) to reduce the risk associated with major elective surgery, in high-risk patients. ,b,Methods,/b,: A cost-effectiveness analysis using data from a randomised controlled trial (RCT). In the RCT 138 patients undergoing major elective surgery were allocated to receive pre-operative optimisation employing either adrenaline or dopexamine (assigned randomly), or to receive routine peri-operative care. Differential health service costs were based on trial data on the number and cause of hospital in-patient days and the utilisation of health care resources. These were costed using unit costs from a UK hospital. The cost-effectiveness analysis related differential costs to differential life-years during a 2 year trial follow-up. ,b,Results,/b,: The mean number of in-patient days was 16 in the pre-optimised groups (19 adrenaline; 13 dopexamine) and ...
Filtering by: Creator Erin Coburn Remove constraint Creator: Erin Coburn Department Dept. of Public Health & Preventive Medicine Remove constraint Department: Dept. of Public Health & Preventive Medicine Keyword elective surgical procedures Remove constraint Keyword: elective surgical procedures Keyword risk factors Remove constraint Keyword: risk factors Keyword nutritional status Remove constraint Keyword: nutritional status School School of Medicine Remove constraint School: School of Medicine ...
Filtering by: Creator Erin Coburn Remove constraint Creator: Erin Coburn Keyword elective surgical procedures Remove constraint Keyword: elective surgical procedures School School of Medicine Remove constraint School: School of Medicine ...
TY - JOUR. T1 - Phase II study of avatrombopag in thrombocytopenic patients with cirrhosis undergoing an elective procedure. AU - Terrault, Norah A.. AU - Hassanein, Tarek. AU - Howell, Charles D.. AU - Joshi, Shobha. AU - Lake, John. AU - Sher, Linda. AU - Vargas, Hugo E. AU - McIntosh, Joe. AU - Tang, Shande. AU - Jenkins, Tim M.. PY - 2014/12/1. Y1 - 2014/12/1. N2 - Background & Aims This is a phase II multicentre study to investigate the efficacy and safety of avatrombopag (E5501), an investigational second-generation thrombopoietin receptor agonist, administered one week prior to elective procedures in patients with thrombocytopenia secondary to cirrhosis. Methods Adults with cirrhosis and platelet counts ≥10 to ≤58 × 109/L were randomized to placebo or avatrombopag in two sequential cohorts. Cohort A: placebo vs. one of 3 different doses (100 mg loading dose followed by 20, 40, or 80 mg/day on days 2-7) of a first-generation avatrombopag formulation. Cohort B: placebo vs. one of 2 ...
The basis for the substantial interhospital variation in preoperative medical consultation remains unclear. Differences in individual surgeons preferences may explain it in some part. However, we did not evaluate the impact of individual surgeons on consultation rates in the current study because of the analytical difficulties of comparing multiple surgeons nested within many different surgical specialties and hospitals. Thus, future studies should evaluate the influence of surgeons on consultation rates within a more homogenous group of surgical procedures (e.g. , major joint replacement). Nonetheless, there is likely an important effect of the individual hospital on consultation rates, as evidenced by the moderate positive correlation between hospital-specific consultation rates for dissimilar surgeries, namely major joint replacement versus colon resection procedures. It is unlikely that hospital-specific financial incentives to physicians were a major influence on hospital-level variation ...
The Centre Hospitalier in Calais said it can see patients within four weeks and can handle a range of elective surgical procedures.. The offer is part of a 2016 partnership deal with NHS chiefs from South Kent Coast Clinical Commissioning Group, which allows patients to book treatment in selected French hospitals in the same way they would choose a UK hospital.. NHS hospital trusts were told to cancel all non-urgent care, including around 55,000 elective operations, until at least February to ensure capacity is available at A&E departments and for seeing patients whose conditions may deteriorate - such as those suffering from cancer.. A flyer from Caliais centre, sent out this week, said: "At a time when planned surgeries are cancelled in all NHS hospitals, Calais Hospital is in capacity to offer fast care to any NHS patient".. It adds that, because of the deal, the NHS can offer UK patients care in less than four weeks with "no extended delay to be expected during winter time".. It comes after ...
Family physicians are often asked for preoperative consultations prior to elective surgical procedures. Traditionally, the process of "clearing" patients for surgery has included performing an electrocardiogram, chest x-ray, and numerous laboratory tests. However, as Dr. Molly Feely and colleagues point out in the cover article of American Family Physicians March 15th issue, there is little evidence that routine preoperative testing is beneficial: "these tests often do not change perioperative management, may lead to follow-up testing with results that are often normal, and can unnecessarily delay surgery, all of which increase the cost of care." Instead, current guidelines recommend selective testing based on risk factors identified during the history or physical examination ...
Virtuas board-certified general surgeons specialize in performing emergency and elective surgical procedures, as well as diagnosing and treating abdominal pain. - Virtua Service
Ensure proper control of diabetes and insulin requirements. Check blood gas analysis and blood lactate level because of the potential association with chronic lactic acidosis. Mental retardation may cause the patient to be uncooperative at induction of anesthesia and the benefit of a premedication must be weighed against the severity of the clinical condition. It is essential to ensure proper perioperative control of diabetes mellitus. Chronic lactic acidosis may be present and should be treated accordingly before any elective surgical procedures. ...
The number of laparoscopic/percutaneous surgical procedures performed in the United States (U.S.) has been gradually expanding over the years, reflecting the steady migration of patients from acute care settings and open surgery. By the end of 2010, outpatient procedures accounted for more than 50% of all surgeries performed in the U.S., compared with an estimated 30% in 2000. This trend is expected to continue over the forecast period covered by this report, though at a somewhat slower pace than in previous years. Over the past half-decade, economic uncertainty in the U.S. has prompted a visible decline in the number of elective surgical procedures, particularly those not covered by Medicare or private insurers. This trend, however, is expected to dissipate over the forthcoming years as the economic recovery becomes a sustainable reality. Among the surgical procedures performed in the U.S. that are projected to experience moderate to robust gains over the forecast period are carotid artery ...
The focus on DAPT has grown in parallel with concerns regarding ST. A consensus science advisory regarding DAPT for DES-treated patients (48) recommended: 1) DAPT for at least 1 year; 2) deferring elective surgical procedures for 1 year; 3) continuing 81 mg aspirin daily if thienopyridine therapy must be stopped; 4) discussing need for DAPT with the patient before the procedure; 5) educating patients and health care providers regarding DAPT compliance; and 6) consulting with the cardiologist prior to surgical procedures. Lacking adequately powered RCTs with ST as a primary end point, strategic approaches to extended DAPT have developed from observational studies.. In a prospective observational cohort of 6,816 successful DES patients, the incidence, timing, and relationship of ST to duration of clopidogrel therapy were analyzed during 4-year follow-up (49). "Definite" ST was observed in 1.2% of patients, with the greatest risk early after index PCI. The "protective" effect of clopidogrel was ...
Niruben qualified as a Consultant General Surgeon in 2011. He is experienced in managing acute and elective general surgery conditions.
This book describes the approach to anesthetic and perioperative management in different categories of high-risk patient scheduled to undergo elective noncardiac surgery. Individual sections focus on patients with conditions entailing cardiac and hemodynamic risks, respiratory risks, renal and metabolic risks, neurological risks, and other forms of risk. For each condition, up-to-date guidance is provided on risk evaluation, risk stratification, and intraoperative and postoperative anesthetic management. This is the first time that such different clinical situations have been gathered together in a single textbook of anesthesiology. All of the authors are international experts with extensive clinical experience. The aim is to provide trainee anesthesiologists with clear guidance that will prove invaluable when managing a wide range of patients with serious illnesses or conditions that pose a significant anesthetic risk. The book will also serve as a valuable reference for more experienced ...
In the setting of acute trauma, localized subchondral пппFig. A. There is consensus that the oxidative stress promoted Buy Duratia 60mg reactive oxygen species is deeply related to the neural cell death in 60gm neurodegenerative п Page 160 152 7 Investigation of Neurodegenerative Disorders (II) disorders such as Parkinsonвs disease, the medical risk levels for elective AAA repair, Buy Duratia 60mg morphology and its impact on operative mortality, the issue of high-risk patient treatment, and the current standard of care for AAAs based on single- center, multicenter, Durtia population-based statistics.
With medical costs through the roofs, millions of Americans are going overseas for surgery, screening and elective procedures, sometimes saving themselves tens of thousands of dollars.
The custom orthopedics company said it was furloughing 80 employees because of sharp declines in elective procedures resulting from the coronavirus pandemic. Th
Elective or semi elective procedures for non-life threatening but life limiting conditions requiring intra-arterial or intra-venous bolus heparin use such as performed for lower limb claudication (pain with walking or exercise). This group at lower priority in the event of a shortage is also likely to be the largest ...
Background and Aims: The ProSeal™ laryngeal mask airway (PLMA), i-gel™ and Laryngeal Tube Suction-D (LTS-D™) have previously been evaluated alone or in pair-wise comparisons but differing study designs make it difficult to compare the results. The aim of this study was to compare the clinical performance of these three devices in terms of efficacy and safety in patients receiving mechanical ventilation during elective surgical procedures. Methods: This prospective, randomised, double-blind study was conducted on 150 American Society of Anesthesiologists physical status I-II patients, randomly allocated into 3 groups, undergoing elective surgical procedures under general anaesthesia ...
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180 days after DES implantation. Thus, these findings may help inform clinical decision making regarding the timing of major elective noncardiac surgery after recent PCI. However, the decision of timing for elective surgery should be individualized, balancing the well-understood risks of restenosis with less certain risks of stent thrombosis, as well as patient anatomy, perioperative bleeding risks, and risks of delaying surgical procedures. Although surgery >180 days after DES may be reasonable in some non-ACS simple lesions with good acute results, data from the current study do not have sufficient size and scope to change current guidelines and recommend earlier surgery after DES, when there remain concerns regarding the residual risk of stent thrombosis within the first year.. ...
Since at least 2005, there has been international recognition of a newly defined field of general surgery often referred to as Acute Care Surgery (ACS). The ACS model attempts to recognize that emergency general surgery (EGS) is a unique entity that differs significantly from elective general surgery. Indeed, EGS itself is an independent risk factor for morbidity and mortality, with EGS patients up to 5 times more likely to die than their elective surgery counterparts, a risk not fully explained by pre- or peri-operative risk factors. Many have postulated that patients presenting with EGS conditions benefit from structured care and systems, which has, in part, led to the development and proliferation of ACS models. Similar to the development of trauma systems throughout the world, ACS models focus on the acute care of surgical patients within the framework of a system dedicated to emergency care. In 2009, the Canadian Association of General Surgeons (CAGS) held a full-day summit to define the ...
Our findings suggest that elective noncardiac surgery can be performed reasonably safely in carefully selected patients once at least 6 months have elapsed since drug-eluting stent implantation. There may also be an optimal time window for performing surgery within the year after bare-metal stent implantation, namely from 46 to 180 days after PCI. Although the presence of this optimal window is not certain, especially because its associated adjusted odds ratio is imprecise, this window is biologically plausible. It represents the period when re-endothelialization is largely complete after bare-metal stent implantation30 but when in-stent restenosis has yet to completely manifest itself.31 Conversely, once ,1 year has elapsed since either bare-metal or drug-eluting stent implantation, physicians can be reassured that the associated perioperative cardiac risk has reached a plateau, with risks similar to that of individuals with remote histories of previous PCI (ie, 2 to 10 years before ...
The problem with this approach, however, is as the authors point out, that in hospitals that have a low volume of a given procedure, it is quite possible that, by the vagaries of chance alone, a hospital that may not be so great could have zero mortality. Unless an operation has a very high mortality in all hands, it is quite possible for a low volume hospital to have no mortalities for a considerable period of time for reasons that have little or nothing to do with the true rate of mortality. Most "high mortality" operations, however, have mortalities under 10%.. The study design was quite straightforward. The investigators obtained the Medicare records necessary to identify all hospitals with zero mortality for several procedures from 1997 to 1999. The procedures examined included coronary artery bypass grafting, elective abdominal aortic aneurysm repair, carotid endarterectomy, colon cancer resection, pulmonary lobectomy, and pancreatic resection. The hospitals had to have preformed at least ...
The last decade has represented a time of fundamental change in the treatment of abdominal aortic aneurysms (AAAs). Potentially, vascular surgeons will either acquire catheter-based skills or relinquish the care for many patients with infrarenal AAA. We investigated AAA referral patterns and method of AAA repair after the establishment of an endovascular AAA program at our institution. We conducted a retrospective review of elective AAA repairs after the initiation of an endovascular AAA program in April 1994. Six vascular surgeons performed all procedures with a clear distinction between the surgeons (n=3) who performed traditional AAA repair only and those (n=3) who managed AAAs by means of either endovascular or traditional treatment. From April 1994 through December 2000, 740 elective AAA repairs were performed. During this time the mean number of AAA repairs has been 106/year ranging from 75 to 155/year. More notable however is the steady increase in the percentage of endovascular AAA ...
A significant number of paediatric surgical patients undergone clean surgical procedures. Most of the paediatric surgeon use perioperative prophylactic antibiotic in this clean procedure because of undue fear of infection in their mind. The objective of this study is to evaluate whether the use of perioperative prophylactic antibiotics have an effect to prevent post operative wound infection in clean operation in paediatric surgical patients. This study was conducted in the paediatric surgery department of Bangabandhu Sheikh Mujib Medical University and some private clinics of Dhaka city from January 2009 to December 2009. Two hundred patients who were undergone clean elective surgical procedure on day case basis were included in this study. They were divided into two equal groups (Group A and Group B). The patients of Group A were given intransverse Cephradine 30 minutes before incision and then oral Cephradine was advised postoperatively for 7 days. The patients of Group B were not given any
The objective of the study was to see if pricing data for total hip arthroplasty, a common elective surgical procedure could be obtained. Researchers selected two hospitals from each state that performed the procedure as well as 20 top-ranked orthopedic hospitals, according to U.S. News & World Report. Each hospital was contacted by telephone and asked what the lowest completed "bundled price" (hospital and physician fees) for the procedure was for a 62-year-old woman. Each hospital was contacted up to five times ...
title:Comparison of Recovery Profiles of Propofol & Sevoflurane Anesthesia With Bispectral Index Monitoring (BIS) in General Anesthesia. Author:Mukesh Somvanshi, Deepti Agarwal, Archana Tripathi. Keywords:Propofol, Sevoflurane, Bispectral index, Recovery profile.. Type:Original Article. Abstract:Background: The aim of the study was to compare the effect of propofol & sevoflurane with respect to hemodynamic changes, recovery profiles and complications in patients scheduled for various elective surgical procedures under general anesthesia.Method: Fifty ASA physical status I-II patients of either sex, aged between 18 and 60 years were randomly divided into two groups to receive either propofol infusion (group P, n=25) or sevoflurane (group S, n=25). Cardiovascular parameters, SpO2 and bispectral index (BIS) scores were recorded. Time to eye opening, hand squeezing and achieve modified Aldretes Score ? 9 and the incidence of complications were noted. Results: Early recovery times [eye opening, hand ...
Over the past decade, the percentage of elective surgical procedures performed on a day case basis has increased from 55% to over 70%. The current interest and focus on day surgery is a result of public demand and government-imposed targets.
Our program is designed to be a one to two-year fellowship with an emphasis on both clinical and research opportunities. The first year of training focuses on surgical critical care in an ACGME approved fellowship. There are multiple ICUs including a 20 bed SICU, 10 bed NSICU and 5 bed Burn Unit included in the training program. The fellow works with one of the two Trauma Teams directing care for the ICU patient, and assists in ICU management. During the second year of the fellowship, the trauma fellow acts as a junior attending and works as an integrated part of the team. There are approximately 4-6 nights of call per month. The clinical milieu is vast, with the Trauma Service admitting trauma, burn, emergency general surgery and some elective general surgery patients. The service also provides surgical critical care consultation to many of the other surgical specialties in the hospital. Fellows will have a broad training experience consistent with many of the goals of Acute Care Surgery. ...
Major bleeding events were defined according to the modified McMaster criteria. The criteria for MBEs were: fatal; clinically overt associated with loss of haemoglobin ,=20g/L in excess of what was expected; clinically overt leading to the transfusion of ,=2 units packed cells or whole blood in excess of what was expected; symptomatic retroperitoneal, intracranial, intraocular or intraspinal; requiring treatment cessation; leading to re-operation ...
A PHASE 2 RANDOMIZED STUDY INVESTIGATING THE EFFICACY AND SAFETY OF MYOSTATIN ANTIBODY LY2495655 VERSUS PLACEBO IN PATIENTS UNDERGOING ELECTIVE TOTAL HIP ARTHROPLASTY. L. Woodhouse, R. Gandhi, S.J. Warden, S. Poiraudeau, S.L. Myers, C.T. Benson, L. Hu, Q.I. Ahmad, P. Linnemeier, E.V. Gomez, O. Benichou, on behalf of the study investigators. J Frailty Aging 2016;5(1):62-70. Show summaryHide summary. Background: Total hip arthroplasty relieves joint pain in patients with end stage osteoarthritis. However, postoperative muscle atrophy often results in suboptimal lower limb function. There is a need to improve functional recovery after total hip arthroplasty. Objectives: To assess safety and efficacy of LY2495655, a humanized monoclonal antibody targeting myostatin, in patients undergoing elective total hip arthroplasty. Design: Phase 2, randomized, parallel, double-blind, 12-week clinical trial with a 12-week follow-up period. Setting: Forty-two sites in 11 countries. Participants: Individuals ...
Aetiology of preoperative anaemia in patients undergoing elective cardiac surgery - the challenge of pillar one of Patient Blood Management: This Anaesthesia and Intensive Care Journal article authored by SA Health staff provides the findings from a retrospective study aimed at determining the aetiology of preoperative anaemia in a cohort of patients undergoing elective cardiac surgery over two years at a tertiary hospital.. Note: the link is to the summary only. To view the full article, you will need to be a subscriber to the Anaesthesia and Intensive Care Journal or register for free access to this article. If you do not have access and wish to receive a copy, please contact Blood Organ and Tissue Programs. This article can be cited as "J Abraham, R Sinha, K Robinson, V Scotland, D Cardone. Aetiology of preoperative anaemia in patients undergoing elective cardiac surgery-the challenge of pillar one of Patient Blood Management. Anaesth Intensive Care 2017; 45:46-51.". Changing pattern of red ...
Current projects include a drive to reduce complications, and the development of a risk-adjusting and predictive tool to guide preoperative assessment and patient selection. For example, the combination of an elevated creatinine, chronic obstructive pulmonary disease, age greater than 70 and the need for suprarenal clamping, predicts a one year mortality of 70% in patients after elective open abdominal aortic aneurysm repair.This profile would dissuade most patients and surgeons from an open operation. Identifying and disseminating best practices and sharing of sophisticated data, including CT scans for collegial consultation, are current projects designed to improve the outcome for the entire cooperative group. Key lessons from this experience include the need for a physician leader at each site, the need for an overall project leader, the value of a regional rather than a national group to increase collegiality, communication and trust, and the need for a designated data manager at each site. ...
Physician work hours and fatigue can impact patient safety, particularly among subspecialties focused on high-risk patients. This retrospective cohort study examined outcomes of patients undergoing nonemergent cardiac surgery occurring before or after 3pm.
Preventing perioperative tissue oxygen debt contributes to a better postoperative recovery. Whether the beneficial effects of fluids and inotropes during optimization of the oxygen delivery index (DO2I) in high-risk patients submitted to major surgeries are due to fluids, to inotropes, or to the combination of the two is not known. We aimed to investigate the effect of DO2I optimization with fluids or with fluids and dobutamine on the 60-day hospital mortality and incidence of complications. A randomized and controlled trial was performed in 50 high-risk patients (elderly with coexistent pathologies) undergoing major elective surgery. Therapy consisted of pulmonary artery catheter-guided hemodynamic optimization during the operation and 24 hours postoperatively using either fluids alone (n = 25) or fluids and dobutamine (n = 25), aiming to achieve supranormal values (DO2I | 600 ml/minute/m2). The cardiovascular depression was an important component in the perioperative period in this group of patients.
Controversy: whether or not preoperative cardiac testing can ever be justified. It is clear that preoperative testing can stratify patients with regards to risk [Landesberg G et al. Circulation 108: 177, 2003], however in order for cardiac testing to be defensible, anticipated management changes (i.e. revascularization) must improve outcomes.. Data Supporting Preoperative Cardiac Testing:. There are no prospective studies in support of preoperative cardiac testing. The most widely cited retrospective study comes from Landesberg et al., who retrospectively reviewed the perioperative course of 502 patients undergoing major vascular surgery, and found that mortality was lower in those who had moderate-severe reversible ischemia on thallium scanning and underwent revascularization (n = 74) than those who did not (n = 74, OR 0.52, p = 0.018) [Landesberg G et al. Circulation 108: 177, 2003] Data Not Supporting Preoperative Cardiac Testing:. The largest prospective study assessing the utility of ...
TRAIL - Joint-replacement surgeries at Kootenay Boundary Regional Hospital (KBRH) are on hold after six patients were confirmed with infections postoperatively.. "Surgical infections can result from a wide range of factors," Jane Cusden, Kootenay Boundary acute health services administrator, said Friday.. Factors can be specific to the patients themselves, or related to pre-surgical or post-operative care.. "So we are looking for additional information that might indicate why we had this little blip in the places that we have," she explained.. With ski season and the likelihood of icy roads and sidewalks nearing, Cusden confirmed that emergency surgeries will not be affected - the focus is purely the elective total hip and knee joint replacement procedures.. No specific strain of bacteria has been isolated in all six patients.. The services review began Monday, affecting 37 patients previously scheduled for joint replacement surgery in December.. "Weve actually postponed 37 patients until the ...
Study finds that patients undergoing a first-time implantable cardoverter-defibrillator (ICD) procedure in the afternoon or evening or on weekends or holidays were more likely to experience adverse events.
In-hospital mortality was 1% for elective, 2.1% for urgent and 4.5% for emergent admissions. The most substantial increase for in-hospital mortality was observed in patients who underwent elective procedures (0.8% in 2000 vs 3.4% in 2012). Additionally, patients treated in 2012 compared with 2000 were more likely to die in the hospital (OR 1.42; 95% CI 1.36-1.48).. Median patient age (75 years) did not change over the course of the study, but the proportion of those who were female dropped from 43.5% in 2000 to 40.4% in 2012. Bare-metal stent usage fell from 85.7% in 2000 to 23.5% in 2012 with a corresponding increase in the use of drug-eluting stents, which peaked in 2005 at 84.1% and settled at 70.3% in 2012. About one in 10 patients underwent angioplasty, and 90.4% underwent PCI with stent placement.. Overall survival was 93% at 6 months, 90% at 1 year, 80% at 3 years and 69% at 5 years. The 5-year survival rate held steady at 70% from 2000 through 2006 and then declined slightly to 66% ...
As healthcare providers work to reopen and reschedule appointments, some patients awaiting or considering surgical procedures may still feel hesitant about returning to a healthcare facility. We also understand waiting for treatment might not be an option if you are in pain and eager to improve your quality of life.. To help you make an informed decision about scheduling your procedure, we wanted to make you aware of a joint statement from the American College of Surgeons, the American Society of Anesthesiologists, the Association of periOperative Registered Nurses and the American Hospital Association regarding recommended guidelines for healthcare providers to safely resume elective procedures.. Questions to Ask Your Provider ...
But, she points out, there are a couple of things patients may be able to do, especially if theyre in an elective situation. Number one is to call ahead to your doctor or hospital and find out if the drug that youre supposed to get, or the sequence of drugs, is in fact available. Secondly, you always want to ask your doctor if there are options or alternatives. Sometimes there are, sometimes there are not. And lastly, if youre going in for an elective treatment and there is a supply problem, ask if you have some latitude about whether that treatment can be rescheduled. Again, in some emergency settings, ICU settings, there are no options, but if youre talking about an elective therapy, oftentimes that treatment can be rescheduled. It might not be ideal but its a possibility ...
Elective surgeries have been halted as part of the health systems response to coronavirus. But many are unnecessary and shouldnt be rescheduled after the pandemic ends.
Surgery is performed for many reasons. New surgical techniques make surgery safer and less invasive. Get the basics on emergency and elective surgery.
This category is about elective surgical procedures to the vagina or clitoris undergone for the purpose of enhancing sexual enjoyment or improving appearance. It does not includes information on clitoridectomy, excision, or any other form of Female Genital Mutilation. Nor does it include sites about the creation of a vagina as part of a male to female sex change.
[...] within a month last summer, the Food and Drug Administration approved two new drugs designed to help patients manage their weight. Both are designed for people who are obese, with a body mass index of 30 or higher, or who are overweight with related health problems. [...] thats a start, said Erik Wilson, medical director of bariatric surgery at Memorial Hermann - Texas Medical Center and chief of elective general surgery for the University of Texas Health Science Center at Houston. The Trust for Americas Health estimates that if current trends continue, obesity could contribute up to 6 million cases of Type 2 diabetes, 5 million cases of coronary heart disease and stroke, and more than 400,000 cancer diagnoses in the next 20 years. New endoluminal therapies are offering minimally invasive alternatives to lap-band surgery; sleeves, suturing devices and other tools can be inserted through the mouth and applied to the stomach or intestine without an incision. [...] the UT Health Science Center
Commonly referred to as the Brazilian butt lift, this procedure works to shape and add size to the buttocks region. This procedure starts by using fat from various other areas of your body, such as your stomach and hips. The fat cells are transferred from these other body areas to the buttocks. This is how the buttocks size is enhanced to achieve a rounder appearance. This surgery typically is a two-fold process where it helps you to get rid of unwanted body fat while enhancing the appearance of your buttocks. As you can see, there are many different elective procedures that people have done on their bodies. All the above are the most common ones that plastic surgeons perform each year. If youre unhappy with one of these areas of your body, you should look into getting a plastic surgery performed to fix the issue. ...
Hypothesis: Perioperative administration of a supplemented enteral formula may decrease postoperative morbidity. Design: Randomized clinical trial. Setting: Department of surgery at a university hospital. Patients: One hundred ninety-six registered malnourished patients (weight loss , or = 10%) who were candidates for major elective surgery for malignancy of the gastrointestinal tract. Intervention: After randomization (n = 150), one group received postoperative enteral feeding with a standard diet within 12 hours of surgery (control group; n = 50). Another group orally received 1 L/d for 7 consecutive days of a liquid diet enriched with arginine, omega-3 fatty acids, and RNA (preoperative group; n = 50). After surgery, patients were given the same standard enteral formula as the control group. A third group orally received 1 L/d for 7 consecutive days of the enriched liquid diet. After surgery, patients were given enteral feeding with the same enriched formula (perioperative group; n = 50). ...
2 Abstract Acute kidney injury (AKI) is frequently accompanied by activation of the sympathetic nervous system. This can be due to the presence of chronic diseases associated with sympathetic activation prior to AKI or induced by stressors that ultimately lead to AKI such as endotoxins and arterial hypotension in circulatory shock. Conversely, sympathetic activation may also result from acute renal injury. Focusing on studies in experimental renal ischemia and reperfusion (IR), this review summarizes the current knowledge on how the sympathetic nervous system is activated in IR‐induced AKI and on the consequences of sympathetic activation for the development of acute renal damage. Experimental studies show beneficial effects of sympathoinhibitory interventions on renal structure and function in response to IR. However, few clinical trials obtained in scenarios that correspond to experimental IR, namely major elective surgery, showed that perioperative treatment with centrally acting ...
Background An average of eight thousand five hundred elective surgeries are carried out annually at the Kenyatta National Hospital. Before any invasive procedure, an informed consent is obtained from the patient or the next of kin after pre-operative counselling has been carried out. This study aimed at determining whether patients were adequately informed on the key components of informed consent and establishing whether patients were satisfied with the process of obtaining informed consent for elective surgery at the Kenyatta National Hospital. Methodology The study was structured as a cross-sectional survey in which a questionnaire was used to collect data from randomly selected adult patients scheduled to undergo elective surgery. The questionnaire was administered by the principal investigator. Data was then be analyzed using SPSS Version 15. Results Majority of the patients were informed on the nature of surgery (97.2%) the reason for surgery (98.2%) and the anaesthesia to be administered ...