Latest & greatest articles for surgery

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Top results for surgery

121. Perioperative Gabapentin in Pediatric Thoracic Surgery Patients-Randomized, Placebo-Controlled, Phase 4 Trial (Abstract)

Perioperative Gabapentin in Pediatric Thoracic Surgery Patients-Randomized, Placebo-Controlled, Phase 4 Trial To determine whether the use of perioperative gabapentin reduces postoperative pain and anxiety, decreases ropivacaine consumption and side effects, and improves patient satisfaction.Randomized, placebo-controlled, phase 4 trial.Participants, care providers, investigators, data analysts.Department of Thoracic Surgery of the Institute of Tuberculosis and Lung Disease, Rabka Zdrój Branch (...) significant difference in median pain scores (numerical rating scale < 1/10) or incidence of adverse side effects between the gabapentin group (N = 20) and the placebo group (N = 20). Postoperative anxiety scores were significantly lower than before surgery in the gabapentin group (6 [4-8] vs 7 [6-8.5], P < 0.01) and remained unchanged in the placebo group (6 [5-6.5] vs 6 [5-7], P = 0.07). Gabapentin-treated patients received a lower number of doses of ondansetron when compared with the placebo group (6

2019 EvidenceUpdates

122. The Effect of Dexmedetomidine Added to Preemptive Ropivacaine Infiltration on Postoperative Pain After Lumbar Fusion Surgery: A Randomized Controlled Trial (Abstract)

The Effect of Dexmedetomidine Added to Preemptive Ropivacaine Infiltration on Postoperative Pain After Lumbar Fusion Surgery: A Randomized Controlled Trial A prospective and controlled study of dexmedetomidine added to preemptive ropivacaine infiltration in lumbar fusion surgery.Assessment of dexmedetomidine added to preemptive ropivacaine infiltration for the relief of postoperative pain after lumbar fusion surgery.Single local anesthetic preemptive wound infiltration for the relief (...) of postoperative pain does not translate into major or consistent clinical benefits after lumbar fusion surgery. Dexmedetomidine added to local anesthetics prolonged the duration of blockade and enhanced the analgesic in peripheral nerve block. The effect of dexmedetomidine added to preemptive ropivacaine infiltration in lumbar fusion surgery for the relief of postoperative pain has yet not been studied.Fifty-seven patients with elective posterior lumbar fusion were randomly divided into two groups. Five

2019 EvidenceUpdates

123. Analgesic and Respiratory Effects of Two Doses of Morphine as an Adjunct to Bupivacaine in Ultrasound-Guided Transversus Abdominis Plane Block in Upper Abdominal Surgery (Abstract)

Analgesic and Respiratory Effects of Two Doses of Morphine as an Adjunct to Bupivacaine in Ultrasound-Guided Transversus Abdominis Plane Block in Upper Abdominal Surgery Opioid receptors are present at the terminals of afferent peripheral nerves; therefore, administration of opioids peripherally might provide a significant analgesic effect.We investigated the analgesic efficacy of 2 different doses of morphine in bilateral subcostal single-injection ultrasound-guided transversus abdominis plane (...) (TAP) block in abdominal surgery.Randomized, controlled, double-blind trial.University hospital.We enrolled 90 patients (aged 18-60 years) who were scheduled for elective upper abdominal surgeries and received TAP block for postoperative analgesia. Patients received 20 mL bupivacaine 0.5% (group B) only or combined with 10 mg morphine (group BM10) or 15 mg morphine (group BM15). Study drugs were diluted with saline solution 0.9% to 40 mL volume and bupivacaine concentration of 0.25% and injected 20

2019 EvidenceUpdates

124. Influence of delay on breast cancer surgery outcome

Influence of delay on breast cancer surgery outcome Influence of delay on breast cancer surgery outcome We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Influence of delay on breast cancer surgery outcome Share: Reading time approx. 5 minutes In Sweden as well as worldwide, breast cancer is the most common cancer diagnosis in women, and surgery (...) is the primary treatment for curative care. As the time between diagnosis and surgery can vary substantially, it is essential to know if wait time for operative procedures may influence surgery outcomes. Question What systematic reviews are there on surgical wait time and medical outcomes in breast cancer patients? Identified literature No relevant systematic reviews with low/medium risk of bias were found. SBU Enquiry Service consists of systematic literature searches to highlight studies that can address

2019 Swedish Council on Technology Assessement

125. Phase II randomized clinical trial of endosonography and PET/CT versus clinical assessment only for follow-up after surgery for upper gastrointestinal cancer (EUFURO study) (Abstract)

Phase II randomized clinical trial of endosonography and PET/CT versus clinical assessment only for follow-up after surgery for upper gastrointestinal cancer (EUFURO study) Upper gastrointestinal malignancies have a poor prognosis. There is no consensus on how patients should be followed after surgery. The authors hypothesized that a structured follow-up programme including endoscopic ultrasonography (EUS) and [18 F]fluorodeoxyglucose (FDG) PET/CT would detect cancer recurrences, leading (...) to more patients being eligible for therapy.After surgery with curative intent for adenocarcinomas in the gastro-oesophageal junction, stomach or pancreas, patients were randomized 1 : 1 to standard clinical assessment in the outpatient clinic at 3, 6, 9, 12, 18 and 24 months after operation, or clinical assessment plus imaging including [18 F]FDG PET/CT and EUS. The primary endpoint was number of patients receiving oncological treatment for recurrence. Secondary endpoints were overall and progression

2019 EvidenceUpdates

126. Effectiveness of a Question Prompt List Intervention for Older Patients Considering Major Surgery: A Multisite Randomized Clinical Trial (Abstract)

Effectiveness of a Question Prompt List Intervention for Older Patients Considering Major Surgery: A Multisite Randomized Clinical Trial Poor preoperative communication can have serious consequences, including unwanted treatment and postoperative conflict.To compare the effectiveness of a question prompt list (QPL) intervention vs usual care on patient engagement and well-being among older patients considering major surgery.This randomized clinical trial used a stepped-wedge design to randomly (...) assign patients to a QPL intervention (n = 223) or usual care (n = 223) based on the timing of their visit with 1 of 40 surgeons at 5 US study sites. Patients were 60 years or older with at least 1 comorbidity and an oncologic or vascular (cardiac, neurosurgical, or peripheral vascular) problem that could be treated with major surgery. Family members were also enrolled (n = 263). The study dates were June 2016 to November 2018. Data analysis was by intent-to-treat.A brochure of 11 questions to ask

2019 EvidenceUpdates

127. Self-Removal of a Urinary Catheter After Urogynecologic Surgery: A Randomized Controlled Trial (Abstract)

Self-Removal of a Urinary Catheter After Urogynecologic Surgery: A Randomized Controlled Trial To evaluate whether self-discontinuation of a transurethral catheter is noninferior to office discontinuation in patients requiring indwelling catheterization for postoperative urinary retention after pelvic reconstructive surgery.In this randomized noninferiority trial, patients with postoperative urinary retention after pelvic reconstructive surgery were assigned to self-discontinuation or office (...) discontinuation of their catheter 1 week after surgery. The primary outcome was a noninferiority comparison of postoperative urinary retention at 1 week. Self-discontinuation patients were instructed on home catheter removal on postoperative day 7. Office discontinuation patients underwent a standard voiding trial on postoperative day 6-8. Postoperative urinary retention at 1 week was defined as continued catheterization on postoperative day 6-8. Secondary outcomes included urinary tract infections (UTI

2019 EvidenceUpdates

128. Dexamethasone Versus Ketamine in the Interscalene Block in Patients Undergoing Arthroscopic Shoulder Surgery: A Randomized Double-Blinded Study. (Abstract)

Dexamethasone Versus Ketamine in the Interscalene Block in Patients Undergoing Arthroscopic Shoulder Surgery: A Randomized Double-Blinded Study. Arthroscopic shoulder surgery (ASS) is often followed by severe pain. Interscalene brachial plexus block (ISB) was used to relieve such pain. The aim of the study was to compare the effect of adding either dexamethasone or ketamine to ISB on time to the fi rst request for analgesia.Sixty patients scheduled for ASS were enrolled in this study. Before

2019 Asian journal of anesthesiology Controlled trial quality: uncertain

129. Effect of Fibrinogen Concentrate vs Cryoprecipitate on Blood Component Transfusion After Cardiac Surgery: The FIBRES Randomized Clinical Trial. Full Text available with Trip Pro

Effect of Fibrinogen Concentrate vs Cryoprecipitate on Blood Component Transfusion After Cardiac Surgery: The FIBRES Randomized Clinical Trial. Excessive bleeding is a common complication of cardiac surgery. An important cause of bleeding is acquired hypofibrinogenemia (fibrinogen level <1.5-2.0 g/L), for which guidelines recommend fibrinogen replacement with cryoprecipitate or fibrinogen concentrate. The 2 products have important differences, but comparative clinical data are lacking.To (...) determine if fibrinogen concentrate is noninferior to cryoprecipitate for treatment of bleeding related to hypofibrinogenemia after cardiac surgery.Randomized clinical trial at 11 Canadian hospitals enrolling adult patients experiencing clinically significant bleeding and hypofibrinogenemia after cardiac surgery (from February 10, 2017, to November 1, 2018). Final 28-day follow-up visit was completed on November 28, 2018.Fibrinogen concentrate (4 g; n = 415) or cryoprecipitate (10 units; n = 412

2019 JAMA

130. Interventions to improve psychosocial well-being in female BRCA-mutation carriers following risk-reducing surgery. (Abstract)

Interventions to improve psychosocial well-being in female BRCA-mutation carriers following risk-reducing surgery. Women who carry a pathogenic mutation in either a BRCA1 DNA repair associated or BRCA2 DNA repair associated (BRCA1 or BRCA2) gene have a high lifetime risk of developing breast and tubo-ovarian cancer. To manage this risk women may choose to undergo risk-reducing surgery to remove breast tissue, ovaries, and fallopian tubes. Surgery should increase survival, but can impact women's (...) lives adversely at the psychological and psychosexual levels. Interventions to facilitate psychological adjustment and improve quality of life post risk-reducing surgery are needed.To examine psychosocial interventions in female BRCA carriers who have undergone risk-reducing surgery and to evaluate the effectiveness of such interventions on psychological adjustment and quality of life.We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, MEDLINE and Embase

2019 Cochrane

131. 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery )

3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next (...) video is starting stop Loading... Watch Queue Queue __count__/__total__ Changes to YouTube’s Terms of Service Loading... Our Terms of Service have been updated. Please review the new Terms. Working... Ok 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 332 Loading... Loading... Working... Add to Want to watch

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

132. PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery )

PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery ) PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close Content Warning This video may be inappropriate for some users. Sign in to confirm your age Watch Queue Queue Watch (...) Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue Queue __count__/__total__ Changes to YouTube’s Terms of Service Loading... Our Terms of Service have been updated. Please review the new Terms. Working... Ok PICA - PICA Bypass (Side to Side) -- 3D HD video (red - blue anaglyph). ( Brain surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe Loading... Loading

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

133. Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines

Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines | CADTH.ca Find the information you need Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines Electro-Surgery, Cautery, and Surgical Positioning for Surgical Patients in the Operating Room: Guidelines Last updated: March 8, 2019 (...) Project Number: RA1018-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What are the evidence-based guidelines regarding electro-surgery for the treatment of surgical patients in the operating room? What are the evidence-based guidelines regarding cautery for the treatment surgical patients in the operating room? What are the evidence-based guidelines regarding surgical positioning for the treatment of adult surgical patients

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

134. Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines

Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines | CADTH.ca Find the information you need Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines Mohs Surgery for Patients with Skin Cancer: A Review of Guidelines Last updated: March 20, 2019 Project Number: RC1084-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What (...) are the evidence-based guidelines regarding the use of Mohs surgery for the treatment of skin cancer? Key Message Nine evidence-based guidelines were identified; two guidelines issued recommendations on basal cell carcinoma, four on squamous cell carcinoma, two on melanoma, and one on Merkel cell carcinoma. Mohs micrographic surgery (MMS) is recommended as a first-line option for high-risk primary or recurrent basal cell carcinoma. For high-risk primary or recurrent squamous cell carcinoma, MMS may

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

135. Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Intravenous Iron Preparations for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intravenous Iron Preparations (...) for Patients Undergoing Elective Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Last updated: March 27, 2019 Project Number: RC1088-000 Product Line: Research Type: Drug Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of intravenous iron preparations for patients identified as iron deficient undergoing elective cardiac surgery or other elective surgery? What is the cost-effectiveness of intravenous iron

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

136. Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Preoperative Seed Placement for Breast Cancer Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines (...) Last updated: April 1, 2019 Project Number: RB1319-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of preoperative seed placement for patients undergoing surgery for breast cancer? What is the cost-effectiveness of preoperative seed placement for patients undergoing surgery for breast cancer? What are the evidence-based guidelines regarding methods of preoperative tumor localization for patient

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

137. Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical (...) Effectiveness, Cost-Effectiveness, and Guidelines Last updated: April 22, 2019 Project Number: RC1102-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of intraoperative imaging with mammography for breast cancer surgery? What is the cost-effectiveness of intraoperative imaging with mammography for breast cancer surgery? What are the evidence-based guidelines regarding intraoperative imaging

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

138. Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review

Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review | CADTH.ca Find the information you need Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review Rural Breast Cancer Surgery Programs: A Rapid Qualitative Review Last updated: May 3, 2019 Project Number: RC1104-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What (...) to opt for a treatment pathway that limited work and life disruptions and avoided relying on others. For some patients this meant choosing mastectomy over breast conserving surgery, which allowed them to avoid radiation therapy and repeated trips to the cancer centre. Rural stoicism also emerged through a general reticence to seek care, which may contribute in part to the common phenomena of delayed diagnosis among rural breast cancer patients.Shortages of health care professionals and fragmented

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

139. Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines

Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines Povidone-Iodine for Breast Implant Surgery: A Review of Clinical Effectiveness and Guidelines Last updated: May 16, 2019 Project Number: RC1120-000 Product Line: Research Type (...) : Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the comparative clinical effectiveness of povidone-iodine solutions versus other antiseptic solutions for pocket irrigation in breast implant surgery? What is the comparative clinical effectiveness of povidone-iodine solutions versus other antiseptic solutions for implant soaking in breast implant surgery? What are the evidence-based guidelines regarding the use of povidone-iodine solutions

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

140. Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost (...) -Effectiveness, and Guidelines Pregnancy Testing for Patients Requiring Diagnostic Imaging or Surgery in the Emergency Department: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Last updated: May 28, 2019 Project Number: RB1345-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of performing a pregnancy test prior to diagnostic imaging or surgery in the emergency department setting? What

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review