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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

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

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

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

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

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

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

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

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

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

The importance of albumin infusion rate for plasma volume expansion following major abdominal surgery – AIR: study protocol for a randomised controlled trial

post-operative care unit after a Whipple procedure or major gynaecological surgery and presenting with signs of hypovolaemia are eligible for inclusion. Patients are randomised in a 1:1 fashion with no ... conducting a single-centre, investigator-initiated, prospective, parallel-group, randomised study of two different albumin infusion rates in patients following major abdominal surgery. The study is approved by

The importance of albumin infusion rate for plasma volume expansion following major abdominal surgery – AIR: study protocol for a randomised controlled trial

post-operative care unit after a Whipple procedure or major gynaecological surgery and presenting with signs of hypovolaemia are eligible for inclusion. Patients are randomised in a 1:1 fashion with no ... conducting a single-centre, investigator-initiated, prospective, parallel-group, randomised study of two different albumin infusion rates in patients following major abdominal surgery. The study is approved by

A modified Delphi method toward multidisciplinary consensus on functional convalescence recommendations after abdominal surgery

Background Evidence-based information on the resumption of daily activities following uncomplicated abdominal surgery is scarce and not yet standardized in medical guidelines. As a consequence ... findings The modified Delphi method proved to be an efficient and useful method in achieving multidisciplinary consensus on convalescence recommendations following uncomplicated abdominal surgery. Consensus

Albumin Kinetics in Patients Undergoing Major Abdominal Surgery

days after major abdominal surgery, at the time-point when two biomarkers of generalised inflammation were at their peak and the plasma albumin concentration had decreased by 33%, we were unable to show ... inflammation, plasma C-reactive protein, reaches its peak on the first to third post-operative day after major abdominal surgery. A peak in albumin leakage may hypothetically occur at the same time. How the

Advances in stereotactic navigation for pelvic surgery

Background Stereotactic navigation could improve the quality of surgery for rectal cancer. Critical challenges related to soft tissue stereotactic pelvic navigation include the potential difference ... ]. Since anatomical structures at risk during rectal surgery are fixed retroperitoneally, they seem to be less affected by pneumoperitoneum and respiratory movements as compared to upper abdominal organs

Patterns and rates of abdominal lymphatic metastasis following esophageal carcinoma

Aim To determine the rate of abdominal lymph node metastasis after radical surgery for esophageal cancer and define the radiotherapy target area. Methods Of the 1593 patients who underwent R0 radical ... , UNITED KINGDOM To determine the rate of abdominal lymph node metastasis after radical surgery for esophageal cancer and define the radiotherapy target area. Of the 1593 patients who underwent R0 radical