scholarly journals Extension Block Pinning of Mallet Fractures: Comparison Between Early and Delayed Surgery

2022 ◽  
Author(s):  
Serkan SURUCU ◽  
Mahmud AYDIN
Keyword(s):  
Delayed Surgery

Time to abandon the old dictum of delayed laparoscopic cholecystectomy after acute cholecystitis has settled in Caribbean practice

2021 ◽  
pp. 004947552110100
Author(s):  
Shamir O Cawich ◽  
Avidesh H Mahabir ◽  
Sahle Griffith ◽  
Patrick FaSiOen ◽  
Vijay Naraynsingh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Gold Standard ◽  
Standard Treatment ◽  
Gallstone Disease ◽  
Acute Attack ◽  
Early Laparoscopic Cholecystectomy ◽  
Delayed Surgery ◽  
Delayed Cholecystectomy ◽  
Delayed Laparoscopic Cholecystectomy

Although laparoscopic cholecystectomy is the gold standard treatment for acute cholecystitis, many Caribbean surgeons are reluctant to operate during the acute attack. We collected data for all consecutive patients who underwent laparoscopic cholecystectomy for acute cholecystitis from January 1 to 31 December 2018. Delayed cholecystectomy was done >6 weeks after acute cholecystitis settled. We compared data between early and delayed groups. Delayed laparoscopic cholecystectomy was performed in 54 patients, and 42 had early laparoscopic cholecystectomy. Delayed surgery resulted in significantly more complications requiring readmission (39% vs 0), longer operations (2.27 vs 0.94 h) and lengthier post-operative hospitalisation (1.84 vs 1.1 days). Caribbean hospitals should abandon the practice of delayed surgery after cholecystitis has settled. Early laparoscopic cholecystectomy would be financially advantageous for our institutions, and it would save patients recurrent attacks of gallstone disease.

scholarly journals Delayed Surgery after Neoadjuvant Treatment for Rectal Cancer Does Not Lead to Impaired Quality of Life, Worry for Cancer, or Regret

Cancers ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 742
Author(s):  
Vincent Maurice Meyer ◽  
Richtje R Meuzelaar ◽  
Yvonne Schoenaker ◽  
Jan-Willem de Groot ◽  
Edwin de Boer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rectal Cancer ◽  
Neoadjuvant Treatment ◽  
Response Assessment ◽  
Assessment Protocol ◽  
Delayed Surgery ◽  
Surgery Group ◽  
Repeated Response ◽  
Immediate Surgery

Non operative management of complete clinical responders after neoadjuvant treatment for rectal cancer enjoys an increasing popularity because of the increased functional outcome results. Even a near complete response can evolve in a cCR, and therefore further delaying response assessment is accepted. However, up to 40% of patients will develop a regrowth and will eventually require delayed surgery. It is presently unknown if and to what extent quality of life of these patients is affected, compared to patients who undergo immediate surgery. Between January 2015-May 2020, 200 patients were treated with neoadjuvant therapy of whom 94 received TME surgery. Fifty-one (59%) of 87 alive patients returned the questionnaires: 33 patients who underwent immediate and 18 patients who underwent delayed surgery. Quality of life was measured through the QLQ-C30, QLQ-CR29, and Cancer Worry Scale questionnaires. Regret to participate in repeated response assessment protocol was assessed through the Decision Regret Scale. Exploratory factor analysis (EFA) and a ‘known groups comparison’ was performed to assess QLQ questionnaires validity in this sample. Higher mean physical function scores (89.2 vs. 77.6, p = 0.03) were observed in the immediate surgery group, which lost significance after correction for operation type (p = 0.25). Arousal for men was higher in the delayed surgery group (20.0 vs. 57.1, p = 0.02). There were no differences between surgical groups for the other questionnaire items. Worry for cancer was lower in the delayed surgery group (10.8 vs. 14.0, p = 0.21). Regret was very low (12–16%). EFA reproduced most QLQ C-30 and CR29 subscales with good internal consistency. Quality of life is not impaired in patients undergoing delayed TME surgery after neoadjuvant treatment for rectal cancer. Moreover, there is very low regret and no increase in worry for cancer. Therefore, from a quality of life perspective, this study supports a repeated response assessment strategy after CRTx for rectal carcinoma to identify all complete responders.

Tu1589 Early Versus Delayed Surgery in Patients With Medically Refractory Ulcerative Colitis Superimposed by Clostridium difficile Infection

2014 ◽  
Vol 146 (5) ◽  
pp. S-1082-S-1083
Author(s):  
Emre Gorgun ◽  
Nuri Okkabaz ◽  
Cigdem Benlice ◽  
Feza H. Remzi ◽  
Luca Stocchi
Keyword(s):  
Ulcerative Colitis ◽  
Clostridium Difficile ◽  
Clostridium Difficile Infection ◽  
Delayed Surgery

scholarly journals Delayed surgery for localised and metastatic renal cell carcinoma: a systematic review and meta-analysis for the COVID-19 pandemic

2021 ◽  
Author(s):  
Vinson Wai-Shun Chan ◽  
Wei Shen Tan ◽  
Jeffrey J. Leow ◽  
Wei Phin Tan ◽  
William Lay Keat Ong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Metastatic Renal Cell Carcinoma ◽  
Renal Cell ◽  
Meta Analysis ◽  
Delayed Surgery

Factors associated with delayed surgery in elderly hip fractures in India

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jaiben George ◽  
Vijay Sharma ◽  
Kamran Farooque ◽  
Samarth Mittal ◽  
Vivek Trikha ◽  
...  
Keyword(s):  
Hip Fractures ◽  
Delayed Surgery ◽  
Factors Associated ◽  
Surgery In Elderly

CONGENITAL DIAPHRAGMATIC HERNIA: SURVIVAL TREATED WITH VERY DELAYED SURGERY, SPONTANEOUS RESPIRATION, AND NO CHEST TUBE

PEDIATRICS ◽  
1996 ◽  
Vol 97 (6) ◽  
pp. 810-810
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Retrospective Review ◽  
Chest Tube ◽  
Surgical Repair ◽  
Spontaneous Respiration ◽  
Respiratory Care ◽  
Delayed Surgery ◽  
Membrane Oxygenation

This report suggests that stabilization of the intrauterine to extrauterine transitional circulation, combined with a respiratory care strategy that avoids pulmonary overdistension, takes advantage of inherent biological cardiorespiratory mechanics, and very delayed surgery for congenital diaphragmatic hernia results in improved survival and decreases the need for extracorporeal membrane oxygenation (ECMO). This retrospective review of a 10-year experience in which the respiratory care strategy, ECMO availability, and technique of surgical repair remained essentially contant describes the evolution of this method of management of congenital diaphragmatic hernia.

scholarly journals The Effect of Delayed Surgery in Adult Patients with Acute Appendicitis

2009 ◽  
Vol 76 (6) ◽  
pp. 360 ◽  
Author(s):  
Min A Lee ◽  
Min Chung ◽  
Young Don Lee ◽  
Jung Nam Lee ◽  
Woon Ki Lee ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Adult Patients ◽  
Delayed Surgery
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