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Increased visceral tissue perfusion with heated, humidified carbon dioxide insufflation during open abdominal surgery in a rodent model

) carbon dioxide (CO2) increased visceral tissue perfusion and core body temperature during open abdominal surgery in a rodent model. Using two different rodent models of open abdominal surgery, visceral ... reports for the first time the use of LASCA to measure visceral perfusion in open abdominal surgery and shows that insufflation of open abdominal cavities with HH CO2 significantly increases visceral tissue

Acute kidney injury in major abdominal surgery: incidence, risk factors, pathogenesis and outcomes

Acute kidney injury (AKI) is a common complication in patients undergoing major abdominal surgery. Various recent studies using modern standardized classifications for AKI reported a variable ... after major abdominal surgery ranging from 3 to 35%. Several patient-related, procedure-related factors and postoperative complications were identified as risk factors for AKI in this setting. AKI

The prognostic impact of abdominal surgery in cancer patients with neutropenic enterocolitis: a systematic review and meta-analysis, on behalf the Groupe de Recherche en Réanimation Respiratoire du patient d’Onco-Hématologie (GRRR-OH)

to select surgery as the first-choice treatment, concerns being raised regarding the potential risks associated with abdominal surgery during neutropenia. Nevertheless, no published studies comforted ... , literature is scarce and surgery has never been compared to medical treatment. This review and meta‑ analysis aimed to determine the prognostic impact of abdominal surgery on outcome of neutropenic cancer

Combined epidural-general anesthesia was associated with lower risk of postoperative complications in patients undergoing open abdominal surgery for pheochromocytoma: A retrospective cohort study

Background Current evidences show that regional anesthesia is associated with decreased risk of complications after major surgery. However, the effects of combined regional-general anesthesia remain ... ) of 5.2% after laparoscopic surgery; whereas in the study of Elfenbein et al, [ 8 ] complications occurred in 18.8% of patients who underwent open abdominal surgery. Despite of these advantages, open

Preoperative fluid retention increases blood loss during major open abdominal surgery

calculate a composite “fluid retention index” (FRI) in 97 patients prior to major abdominal surgery. Goal-directed fluid volume optimization, with hydroxyethyl starch supplemented with a background ... : Preoperative fluid retention, as detected in a urine sample, was associated with a greater blood loss and a more positive fluid balance during major abdominal surgery. Trial registration: ClinicalTrials.gov

Impact of perioperative nutritional status on the outcome of abdominal surgery in a sub-Saharan Africa setting

determinant of delayed wound healing, surgical site infections and mortality in the postoperative period. There is limited information available regarding the outcome of surgery in malnourished patients in sub ... . Overall, our results emphasize the need of optimizing perioperative care through routine nutritional assessment and management of surgical patients in Cameroon. Abdominal surgery; Nutritional status

Radiologically Determined Sarcopenia Predicts Morbidity and Mortality Following Abdominal Surgery: A Systematic Review and Meta-Analysis

surgery. Method CENTRAL, EMBASE and MEDLINE databases were searched using terms to capture the concept of radiologically assessed sarcopenia used to predict post-operative complications in abdominal surgery ... years. This systematic review and meta-analysis aimed to determine whether radiologically determined sarcopenia predicts post-operative morbidity and mortality following abdominal surgery. Method CENTRAL

The prevalence of pulmonary complications after thoracic and abdominal surgery and associated risk factors in patients admitted at a government hospital in Harare, Zimbabwe-a retrospective study

Background The burden of HIV/AIDS in Sub-Saharan Africa has presented unusual and challenging acute surgical problems across all specialties. Thoraco-abdominal surgery cuts through muscle and thereby ... surgery and the associated risks factors. Methods: A retrospective records review of all abdominal and thoracic surgery patients admitted at a central hospital from January 2014 to October 2014 was done

Emergency Abdominal Surgery in the Elderly: Can We Predict Mortality?

put the significance of emergency abdominal surgery in the elderly into context, patients over the age of 80 who are admitted to hospital for an operation and die within 30 days will have had abdominal ... preemptive resource allocation, and may aid in decision-making by, or for the patient in light of their best interests. Patients who undergo major abdominal surgery in the elective setting should be

The association between frequent alcohol drinking and opioid consumption after abdominal surgery: A retrospective analysis

postoperative pain control and occurrence of postoperative nausea and vomiting. Methods The medical records for 4143 patients using intravenous patient-control analgesia with opioids after abdominal surgery ... postoperative nausea and vomiting after abdominal surgery. Introduction Postoperative pain management is a clinical challenge. Inadequate pain relief after operation is associated with decreased patient

Leakage of albumin in major abdominal surgery

Background The time course of plasma albumin concentration (P-alb) and cumulative perioperative albumin shift as a measure of albumin extravasation in major abdominal surgery is not well described ... leakage progressed until 1 h after the end of surgery. After the initial drop, P-alb was stable for 72 h. Albumin; Inflammation; Transcapillary escape rate; Abdominal surgery Background The evidence

Prone positioning in acute respiratory distress syndrome after abdominal surgery: a multicenter retrospective study

not ARDS patients in the postoperative period of abdominal surgery should be turned prone because of the risk of abdominal complications. Our aim was to investigate the prevalence of surgical

Risk factors for future repeat abdominal surgery

Purpose Today, 40 to 66 % of elective procedures in abdominal surgery are reoperations. Reoperations show increased operative time and risk for intraoperative and postoperative complications, mainly ... and implementation of anti-adhesive strategies. Our aim is to assess the incidence and identify risk factors for repeat abdominal surgery. Methods This is the long-term follow-up of a prospective cohort

Serum levels of bupivacaine after pre-peritoneal bolus vs. epidural bolus injection for analgesia in abdominal surgery: A safety study within a randomized controlled trial

Background Continuous wound infiltration (CWI) has become increasingly popular in recent years as an alternative to epidural analgesia. As catheters are not placed until the end of surgery, more ... a fast recovery. Choosing the optimal analgesic modality remains a topic of debate especially in major abdominal surgery. Epidural analgesia is considered by many to be the reference standard.[ 1

Open abdominal surgery: a diminishing art

1 Department of Gynecology and Obstetrics, Medical University Graz , Graz , Austria 2 Department of Gynecology and Obstetrics, Medical University Vienna , Vienna , Austria - Open abdominal surgery ... laparoscopy, vaginal surgery, and new innovations such as the tension-free vaginal sling (TVT) the need for open abdominal surgery has decreased significantly, which has affected surgical skills, experience

Long-Term Survival After Complications Following Major Abdominal Surgery

Introduction Postoperative complications have been associated with decreased long-term survival in cardiac, orthopedic, and vascular surgery. For major abdominal surgery research, conflicting ... study was to assess the effect of complications on long-term survival in major abdominal surgery. Material and Methods An observational cohort study was conducted of 861 consecutive patients that

Prior Abdominal Surgery Jeopardizes Quality of Resection in Colorectal Cancer

Background Prior abdominal surgery increases complexity of abdominal operations. Effort to prevent injury during adhesiolysis might result in less extensive bowel resection in colorectal cancer ... aim of this study was to evaluate the effect of prior abdominal surgery on the outcome of colorectal cancer surgery. Methods A nationwide prospective database of patients with primary colorectal cancer

Postoperative pulmonary complications following major elective abdominal surgery: a cohort study

study of unselected patients undergoing major elective abdominal surgery was to determine the incidence and effects of PPC. Methods Data on all major elective abdominal operations performed over a 2-week ... elective abdominal surgery, PPC results in six to nine extra hospital days and costs the healthcare system an additional $30,000 per patient (Dimick et al. 2004) . This data relates to studies conducted

Abdominal imaging findings in adult patients with Fontan circulation

often performed to monitor the progression of FALD and to detect hepatocellular carcinoma, which infrequently develops in FALD. Other abdominal abnormalities in post-Fontan patients include protein losing ... enteropathy and pheochromocytoma/paraganglioma. Given that these abdominal abnormalities are critical for patient management, it is important for radiologists to become familiar with the abdominal abnormalities

Contrast-enhanced ultrasound (CEUS) in abdominal intervention

describes the use of CEUS guidance in abdominal intervention and illustrates such application for a range of clinical indications. Clinical application of CEUS discussed include commonly performed abdominal