The Effect of Reduction of the Peripheral Fat Content by Liposuction-Assisted Lipectomy (SAL) on Serum Leptin Levels in the Postoperative Period: A Prospective Study

Abstract Objective The aim of this study was to investigate the applicability of computer-assisted hexapod fixators in dogs and to consider the advantages and disadvantages during implementation. Materials and Methods This was a prospective study. The study material consisted of 11 deformed extremities of 6 dogs. The correction plans were defined according to multiple extremity radiographs of the dog and the clinical evaluation of deformities. All measurements were uploaded to Click2Correct software program. Latent, correction and consolidation periods of each dog were recorded. The hexapod external fixators were removed after completion of the correction. Results Data were adapted to the radiographic navigation software to be used during operation and postoperative period. The latent period ranged from 3 to 20 days, the correction period ranged from 7 to 20 days and the consolidation period ranged from 39 to 81 days. It was concluded that special fixators can be used in dogs with complex antebrachial deformities. Clinical significance The ability to perform six axes correction at the same time has a considerable advantage, especially in dogs with complex antebrachial deformities. It is practical to use this fixation system in dogs with antebrachial deformities.

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Fluid responsiveness in the postoperative period: a prospective study in non critically-ill patients

10.26226/morressier.57108e2cd462b80290b49b9c ◽

2016 ◽

Author(s):

Silvia Cicala

Keyword(s):

Prospective Study ◽

Critically Ill ◽

Fluid Responsiveness ◽

Postoperative Period ◽

Critically Ill Patients ◽

A Prospective Study

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Local Anesthesia and Conscious Sedation Does Not Affect Patient's Mood and Anxiety Levels during Percutaneous Endoscopic Lumbar Diskectomy: A Prospective Study

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0041-1739203 ◽

2021 ◽

Author(s):

H. Yener Erken ◽

Oguz Karaeminogullari ◽

Onur Yilmaz ◽

Kerem Mirel ◽

R. Ozgur Ozer

Keyword(s):

Prospective Study ◽

Operating Room ◽

Local Anesthesia ◽

Postoperative Period ◽

Conscious Sedation ◽

Early Postoperative Period ◽

Preoperative Period ◽

Significant Difference ◽

Anxiety Levels ◽

A Prospective Study

Abstract Background and Study Aims Undergoing a surgical procedure can be very stressful for patients and can lead to high anxiety levels during both the preoperative and the postoperative period. Levels of anxiety and fear may depend on multiple factors including the type of anesthesia to be used. The objective of this study is to evaluate whether patient's awareness of the surgical environment in the operating room under local anesthesia and conscious sedation (LACS) affects their mood and anxiety levels. Methods We performed a prospective study for a series of consecutive patients who underwent transforaminal percutaneous endoscopic lumbar diskectomy (PELD) for the treatment of lumbar disk herniation. The patients completed Profile of Mood States (POMS) and State-Trait Anxiety Inventory (STAI) forms in the preoperative period and in the early postoperative period. We divided the patients into two groups according to the type of anesthesia applied during surgery: LACS and general anesthesia (GA) groups. We compared the preoperative and postoperative POMS and STAI scores between groups and the change of these scores between the preoperative and postoperative periods in each group. Results In this study, we included 30 patients who underwent PELD between May and December 2019 and met the inclusion criteria. The GA group consisted of 16 patients and the LACS group consisted of 14 patients. In each group, POMS and STAI scores decreased in the early postoperative period compared with the preoperative period. We found no significant difference in percentage of POMS and STAI TX-1 score changes between the LACS and GA groups. Conclusion The results of our study show that patients' awareness of the surgical environment in the operating room under LACS does not significantly affect their mood and anxiety levels and patients do not seem to endure increased emotional stress during the PELD operation, as compared with PELD operation under GA.

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Fluid responsiveness in the postoperative period: A prospective study in non-critically ill patients

Clinical Nutrition ESPEN ◽

10.1016/j.clnesp.2018.03.012 ◽

2018 ◽

Vol 25 ◽

pp. 169

Author(s):

Silvia Cicala ◽

Enrico M. Minnella ◽

Elyana Wohl ◽

Sergio Cocimano ◽

Sheldon Magder ◽

...

Keyword(s):

Prospective Study ◽

Critically Ill ◽

Fluid Responsiveness ◽

Postoperative Period ◽

Critically Ill Patients ◽

A Prospective Study

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A Prospective Study of Body Weight and Serum Leptin Levels in Patients Treated With Topiramate

Clinical Neuropharmacology ◽

10.1097/wnf.0b013e318157c5ce ◽

2008 ◽

Vol 31 (4) ◽

pp. 226-230 ◽

Cited By ~ 10

Author(s):

Frank M. Theisen ◽

Stefan Beyenburg ◽

Stefan Gebhardt ◽

Michael Kluge ◽

Werner F. Blum ◽

...

Keyword(s):

Body Weight ◽

Prospective Study ◽

Serum Leptin ◽

A Prospective Study

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Diagnostic Value of Abdominal Free Air Detection on a Plain Chest Radiograph in the Early Postoperative Period: a Prospective Study in 648 Consecutive Patients Who Have Undergone Abdominal Surgery

Journal of Gastrointestinal Surgery ◽

10.1007/s11605-013-2282-6 ◽

2013 ◽

Vol 17 (9) ◽

pp. 1673-1682 ◽

Cited By ~ 5

Author(s):

Marco Milone ◽

Matteo Nicola Dario Di Minno ◽

Giuseppe Bifulco ◽

Paola Maietta ◽

Loredana Maria Sosa Fernandez ◽

...

Keyword(s):

Abdominal Surgery ◽

Prospective Study ◽

Chest Radiograph ◽

Postoperative Period ◽

Diagnostic Value ◽

Early Postoperative Period ◽

Plain Chest Radiograph ◽

Free Air ◽

Plain Chest ◽

A Prospective Study

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Prognostic usefulness of ACTH in the postoperative period of Cushing’s disease

Endocrine Connections ◽

10.1530/ec-19-0297 ◽

2019 ◽

Vol 8 (9) ◽

pp. 1262-1272 ◽

Cited By ~ 2

Author(s):

Pablo Abellán-Galiana ◽

Carmen Fajardo-Montañana ◽

Pedro Riesgo-Suárez ◽

Marcelino Pérez-Bermejo ◽

Celia Ríos-Pérez ◽

...

Keyword(s):

Prospective Study ◽

Adrenal Insufficiency ◽

Postoperative Period ◽

Outcome Measure ◽

Roc Curves ◽

Late Recurrence ◽

Plasma Acth ◽

Main Outcome Measure ◽

A Prospective Study

Objectives To analyze the usefulness of plasma ACTH in predicting CD remission after surgery and to evaluate the prognostic usefulness of ACTH measurement after the cortisol and ACTH nadir (48 h prior to discharge). Design A prospective study was made of 65 patients with CD operated upon between 2005 and 2016. Methods Postsurgery plasma ACTH and cortisol were measured every 6 h, in the absence of corticosteroid coverage. Hydrocortisone was started in the presence of adrenal insufficiency or cortisol <55.2 nmol/L. Plasma ACTH was again determined before discharge. Main outcome measure Usefulness of plasma ACTH in predicting CD remission. Results Remission at 3 months of CD was achieved in 56 of 65 cases, with late recurrence in 18 of 58 cases. Following resection, the ACTH nadir was significantly lower referred to late remission (2.8 vs 6.5 pmol/L; P = 0.031) and higher for recurrence (2.1 vs 4.8 pmol/L; P < 0.001), and identical results were obtained for the ACTH values before discharge. In the analysis of the ROC curves, nadir and before discharge ACTH values <1.9 pmol/L and <2.6 pmol/L were respectively indicative of early remission (AUC 0.827; P < 0.001); <6.2 pmol/L of remission at 3 months (AUC 0.847; P = 0.001) and >3.2 pmol/L of recurrence (AUC 0.810; P < 0.001) in both ACTH values. A time to ACTH nadir <46 h was indicative of early remission (AUC 0.751; P = 0.001), while a time >39 h was indicative of recurrence (AUC 0.773; P = 0.001). Conclusions We propose an ACTH value <3.3 pmol/L as a good long-term prognostic marker in the postoperative period of CD. Reaching the ACTH nadir in less time is associated to a lesser recurrence rate.

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Assessment of the Seric Calcium and Parathormone Levels in Patients Underwent Hemithyroidectomy.

10.21203/rs.3.rs-154032/v1 ◽

2021 ◽

Author(s):

Isabel Fernández Palop ◽

Cristina Fernández Martínez ◽

María Jesús Segura Giménez ◽

María del Carmen Azorín Samper ◽

Rafael García Fuster

Keyword(s):

Prospective Study ◽

Postoperative Period ◽

Gradient Descent ◽

Statistical Significance ◽

Thyroid Cell ◽

Preoperative Period ◽

Thyroid Lobectomy ◽

Ionic Calcium ◽

Safe Technique ◽

A Prospective Study

Abstract Background and objective: Hypocalcemia is one of the main complications that patients undergoing thyroid surgery can suffer. We believe that there may be an impact on serum parathormone and calcium values, despite only one thyroid cell is manipulated in thyroid lobectomy. The former explanation is the reason because we carried out a measurement and analised a potential correlation between them. Methods: This is a prospective study of 53 patients underwent thyroid lobectomy. The serum parathormone value was determined in the preoperative period, 15 min after extraction of the surgical piece, 24 hours and 3 weeks after surgery. Ionic calcium was also measured at 6 hours, 24 hours and 3 weeks. Postoperative parathormone values were compared as well as their gradient descent respect to the postoperative calcium value. The appearance of the parathyroid glands was described during surgery. Results: In none of the patients did the ionic calcium drop below 4mg / dl. The decrease in preoperative calcemia compared with the values at 6 and 24 hours had statistical significance, there were no differences compared to 3 weeks experiment. An analogous trend was observed between the percentage values of decrease in parathormone and postoperative calcemia. Conclusions: Although the calcemia decreased after a lobectomy, it always remained above 4 mg / dl. We conclude that hemithyroidectomy is a safe technique regarding the appearance of hypocalcemia in the postoperative period.

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The structure and risk factors of the postoperative cerebral dysfunction in oncosurgery

Russian Military Medical Academy Reports ◽

10.17816/rmmar83621 ◽

2021 ◽

Vol 40 (4) ◽

pp. 43-50

Author(s):

Nikolay V. Tsygan ◽

Victoria A. Yakovleva ◽

Aleksander V. Ryabtsev ◽

Semen I. Evtukhov ◽

Sergey Yu. Golokhvastov ◽

...

Keyword(s):

Risk Factors ◽

Cognitive Impairment ◽

Retrospective Study ◽

Prospective Study ◽

Postoperative Period ◽

Early Postoperative Period ◽

Malignant Neoplasms ◽

Perioperative Stroke ◽

Cerebral Dysfunction ◽

A Prospective Study

Aim of the research was to study the features of the structure of postoperative cerebral dysfunction, establishing the risk factors for the development of postoperative cerebral dysfunction and for the each of the clinical types during operations for malignant neoplasms of the chest and abdomen. The study was conducted in 2 stages: a retrospective study based on medical records and a prospective study. In a retrospective study by the method of directed selection from 93,129 clinical cases of patients, 47 cases of patients with acute stroke after surgery were selected. In prospective study, 102 patients (69 men, 33 women) aged 38 to 85 years were examined, the median age was 67 years. They were divided into two study groups: thoracic, abdominal. In a retrospective study, the incidence of perioperative stroke was 0.05%. In a prospective study of surgical operations for malignant neoplasms of the chest and abdomen, the incidence of postoperative cerebral dysfunction was 34%, perioperative stroke 2%, symptomatic delirium of the early postoperative period 11%, deferred cognitive impairment 31%. Statistical processing of the prospective study data revealed 10 risk factors for postoperative cerebral dysfunction, 12 risk factors for perioperative stroke, 7 risk factors for symptomatic delirium of the early postoperative period, and 6 risk factors for deferred cognitive impairment. For each of the clinical types of postoperative cerebral dysfunction the Charlson comorbidity index has a significant predictive value, and therefore it seems appropriate to include this parameter in the preoperative examination algorithm (3 tables, bibliography: 8 refs)

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