scholarly journals EVALUATION OF LUMBAR ENDOSCOPIC DISCECTOMY IN OBESE PATIENTS

2019 ◽  
Vol 18 (2) ◽  
pp. 158-162
Author(s):  
Álynson Larocca Kulcheski ◽  
Eduardo Teston Bondan ◽  
Xavier Soler I Graells ◽  
Pedro Grein Santoro ◽  
Guilherme S. Moraes ◽  
...  

ABSTRACT Objectives: Obesity is a public health problem with high morbidity and mortality rates and perioperative complications in the general population. Minimally invasive procedures are promising alternatives to perioperative complications in individuals with a high body mass index (BMI). Endoscopic lumbar discectomy has been gaining popularity in this regard. However, there are few descriptions in the literature about the endoscopic approach to improve pain and quality of life in obese individuals. Likewise, it is not determined whether individuals with a high BMI have more complications in this type of surgical approach. Methods: A longitudinal retrospective case-control study was performed with 63 subjects submitted to endoscopic discectomy, divided into 2 groups according to BMI (Group A, BMI ≥ 30kg/m2 and Group B, BMI <30kg/m2), in order to compare improvement in quality of life through the Oswestry Disability Index (ODI) and pain improvement by the Visual Analogue Scale (VAS), as well as to observe the incidence of postoperative complications in both groups. Results: There was no difference in postoperative ODI (p=0.36) and VAS (p=0.54) between groups, nor was there a statistical difference in the incidence of complications between groups (p=0.56). Conclusions: Endoscopic discectomy brings similar results in pain and quality of life in obese and non-obese patients without causing higher rates of complications. Level of Evidence III; Case-Control Study.

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Carla Ibrahim ◽  
Joane Matta ◽  
Kàtia Lurbe i Puerto ◽  
Yonna Sacre

Background. Obesity is a major health problem worldwide. Today, bariatric surgery is considered as the last option and most effective treatment for severe obesity (BMI ≥40 kg/m2 or BMI ≥35 kg/m2 with metabolic conditions). Aims. We aimed to evaluate the medium-term effect (>36 months) of bariatric surgery and assess postbariatric nutritional and lifestyle management among Lebanese patients who underwent bariatric surgeries in Jbeil and Keserwan hospitals. Methods. This study is a quantitative case-control study. The case group includes a couple of patients who have undergone sleeve or bypass surgery 6 months ago and above, along with the main family caregivers. The control group constitutes a couple of obese patients with BMI ≥30 kg/m2 who did not proceed to any surgical intervention with their main caregivers. The final samples consisted of 53 cases and caregivers and 50 controls and caregivers. The assessment was made by an online questionnaire. Results. Compared to obese patients, bariatric patients were less likely to have high energy intake (54% versus 34%, P value 0.012). Moreover, 35.8% of the caregivers of bariatric patients had a low physical activity level compared to those of the control group who had a lower level (70%). In addition, cases’ main caregivers (75.5%) had much higher quality of life compared to the cases (56.6%), and also, higher quality of life was seen among the case’s main caregivers (75%) compared to the controls (72%). Conclusion. In Jbeil and Keserwan regions of Lebanon, there is a lack of postbariatric nutritional and lifestyle management leading to less desirable outcomes in the medium to long term. A set of recommendations are developed based on this study.


2009 ◽  
Vol 39 (1) ◽  
pp. 63-78 ◽  
Author(s):  
Bernardo Carpiniello ◽  
Federica Pinna ◽  
Gianluca Pillai ◽  
Valentina Nonnoi ◽  
Enrica Pisano ◽  
...  

2013 ◽  
Vol 45 (4) ◽  
pp. 194-199 ◽  
Author(s):  
R. Promberger ◽  
A. Spitzer ◽  
J. Ott ◽  
J. Lenglinger ◽  
W. Eilenberg ◽  
...  

2012 ◽  
Vol 44 (5) ◽  
pp. 1346-1350 ◽  
Author(s):  
D. Masala ◽  
A. Mannocci ◽  
B. Unim ◽  
A. Del Cimmuto ◽  
F. Turchetta ◽  
...  

2014 ◽  
Vol 6 (1) ◽  
pp. 8 ◽  
Author(s):  
TacianaRocha de Hollanda ◽  
Marcia Ramos-e-Silva ◽  
CelsoTavares Sodre ◽  
MarcoAntonio Brasil

Author(s):  
Christa Kingston ◽  
Aravindan J. ◽  
Srikumar Walsalam

Background: Diabetic neuropathy is one among the most common complication in diabetes mellitus. Diabetic peripheral neuropathy hinders the quality of life causing morbidity and mortality. The purpose of this study was to find the risk factors associated with diabetic neuropathy.Methods: This case control study involved 100 diabetic patients attending the Dohnavur fellowship hospital, Dohnavur from October 2019 to March 2020. Sociodemographic profile and diabetic characteristics of the study group were obtained and analysed. Diagnosis of Diabetic Neuropathy was done by using the diagnostic method proposed by American Diabetic Association.Results: Of the total study population with mean age 59.43 years, 63% had family history of diabetes. Almost 70% had poor diabetic control. Statistically significant relationships were found between neuropathy and duration of diabetes, glycaemic control, history of hypertension, monofilament test and pinprick sensation.Conclusions: In this study, glycemic control, dyslipidemia and hypertension were modifiable risk factors for diabetic neuropathy. Early interventional programs to sensitize diabetics on these factors could improve the quality of life of Diabetic patients. 


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