scholarly journals Post-meniscectomy rehabilitation

2019 ◽  
Vol 39 (2) ◽  
pp. 42-47
Author(s):  
Ellis Janks
Keyword(s):  
Surgical Procedures ◽  
Surgical Procedure ◽  
Relative Effectiveness ◽  
Exercise Programme ◽  
Rehabilitation Programme ◽  
Controversial Issue ◽  
Physiological Effects ◽  
Isokinetic Exercise ◽  
Treatment Regimens ◽  
The Ideal

Removal of the semi-lunar cartilage/s (menisci) of the knee is a common surgical procedure. Surgeons recognize the importance of an exercise programme supervised by a physiotherapist, in order to obtain the best post-operative rehabilitation. However, the best method of post-operative rehabilitation has been a controversial issue. Controlled studies to determine the relative effectiveness of different treatment regimens are reviewed. Substantial research is being carried out to determine the physiological effects of surgical procedures, subsequent immobilization and different forms of exercise on the leg. These are discussed and considered in formulating the ideal post-meniscectomy rehabilitation programme. The effects and importance of isokinetic exercise is emphasized.

scholarly journals Prognostic Nutritional Index Considering Resection Range Is Useful for Predicting Postoperative Morbidity of Hepatectomy

2021 ◽  
Author(s):  
Shigeyuki Nagata ◽  
Shohei Maeda ◽  
Satoko Nagamatsu ◽  
Seiichiro Kai ◽  
Yasuro Fukuyama ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Procedures ◽  
Predictive Value ◽  
Surgical Procedure ◽  
Major Hepatectomy ◽  
Prognostic Nutritional Index ◽  
Complication Rates ◽  
Immunological Status ◽  
Grade Ii ◽  
Prognostic Nutrition Index

Abstract Background Poor preoperative nutritional and immunological status are major risk factors for postoperative complications in patients with various malignancies. Lower preoperative prognostic nutrition index (PNI) is associated with higher rates of postoperative complications and poorer prognosis in those patients. The aim of this study was to analyze the predictive value of the PNI for post-hepatectomy complications in patients with hepatocellular carcinoma (HCC), and evaluate its utility in the surgical procedure. Methods This retrospective study included 510 patients who underwent open hepatectomies for HCC. The predictive value of the preoperative nutritional and immunological status for postoperative complications was assessed using the PNI. Postoperative complications were defined as grade II or higher per the Clavien-Dindo classification. Postoperative complication rates were compared according to surgical procedure (major hepatectomy vs minor hepatectomy). Results Patients with postoperative complications had significantly lower PNIs than those without (43.1 ± 5.5 vs 47.0 ± 5.7, P < 0.001). In the multivariate analysis, low preoperative PNI (< 45) was an independent risk factor for postoperative complications after hepatectomy (hazard ratio, 3.85). When patients were classified per their PNI (high vs low) and extent of surgical procedures (major vs minor), there were more complications among patients with low PNI than those with high PNI, regardless of the extent of surgical procedures. Specifically, the group of patients with low PNI who underwent major hepatectomy had significantly higher rates of postoperative complications than the other groups. Conclusions Adding the resection range to the PNI is useful for predicting the postoperative morbidities of hepatectomy patients.

Psychological and Respiratory Physiological Effects of a Physical Exercise Programme on Boys with Severe Asthma

2008 ◽  
Vol 80 (11) ◽  
pp. 1058-1065 ◽  
Author(s):  
I. ENGSTRÖM ◽  
K. FÄLLSTRÖM ◽  
E. KARLBERG ◽  
G. STEN ◽  
J. BJURE
Keyword(s):  
Physical Exercise ◽  
Severe Asthma ◽  
Exercise Programme ◽  
Physiological Effects

VOLUME MANIPULATION FOR SIMULATING FACIAL CONTOURING SURGERY

2014 ◽  
Vol 26 (01) ◽  
pp. 1450016 ◽  
Author(s):  
Ming-Dar Tsai ◽  
Feng-Chou Tsai ◽  
Chih-Lung Lin ◽  
Ming-Shium Hsieh
Keyword(s):  
Wound Healing ◽  
Surgical Procedures ◽  
Surgical Procedure ◽  
Tissue Deformation ◽  
Bone Morphology ◽  
Facial Bone ◽  
High Quality ◽  
3D Images ◽  
Case Examples ◽  
The Face

In facial contouring surgery, surgeons operate the facial bone to correct bone morphology and thus achieve esthetic feminine face. To evaluate the face appearance after surgery and rehearse every surgical procedure in facial contouring surgery, simulations for tissue peeling, incising and suturing on the face together with bone burring and grafting on the facial bone are required. This paper presents a method that transforms respective tissue vertices to simulate tissue peeling. The transformation is based on specified incisions and clamps as in real facial contouring surgery. This paper also uses an auxiliary structure to represent and record tissue boundary changes inside the face. The elastic, partially plastic and plastic tissue deformation and wound formation during an incision can be simulated by manipulating these boundary changes. The incised wound recorded in the auxiliary structure is also manipulated to simulate tissue generation in wound healing during a suture. This volume manipulation method is combined with the reported method for bone burring and grafting simulations so that high-quality 3D images for illustrating surgical procedures both on the face and facial bone can be achieved. Simulations of two case examples including tissue peeling, incising and suturing procedures, and three modalities of facial contouring surgery demonstrate the effectiveness of the proposed method and system.

scholarly journals A Survey of Competency-Based Training of Senior House Officers in Performing Minor Surgical Procedures

2006 ◽  
Vol 88 (6) ◽  
pp. 576-578 ◽  
Author(s):  
Samuel CL Leong ◽  
Alison J Waghorn
Keyword(s):  
Surgical Procedures ◽  
Surgical Procedure ◽  
Perianal Abscess ◽  
Incision And Drainage ◽  
Minor Surgical Procedures ◽  
Surgical Trainees ◽  
Competency Based ◽  
A Minor ◽  
Second Procedure ◽  
And Training

INTRODUCTION The aim of this survey was to ascertain the level of competency and training of basic surgical trainees (SHOs) in performing incision and drainage of a perianal abscess (a minor surgical procedure). MATERIALS AND METHODS Questionnaires were sent to SHOs enquiring about preferred methods of incision and drainage and the teaching received to perform this procedure. RESULTS Of respondent SHOs, 10% did not receive teaching when performing their first incision and drainage and over half did not received any feedback from their trainers. A mere 65% received practical supervision. Use of the curette and de-roofing of the abscess are not routine methods used. In addition, 13% reported inadequate incision and drainage, which required a second procedure. CONCLUSIONS Competency-based training in minor surgical procedures benefits not only from didactic teaching, immediate supervision and appraisal but also from frequent practise. This was found to be lacking for incision and drainage of perianal abscesses by basic surgical trainees surveyed in the study.

scholarly journals MODERN TRENDS TO LAPAROSCOPIC SURGERY IN GYNECOLOGY

2010 ◽  
Vol 1 (3) ◽  
pp. 98-102
Author(s):  
S A Levakov ◽  
A G Kedrova ◽  
N S Wanke
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Procedures ◽  
Endoscopic Sinus Surgery ◽  
Surgical Procedure ◽  
Sinus Surgery ◽  
Surgical Tool ◽  
Gynecologic Laparoscopy

Gynecologic laparoscopy has evolved from a limited surgical procedure used only for diagnosis and tubal ligations to a major surgical tool used to treat a multitude of gynecologic indications. Today, laparoscopy is one of the most common surgical procedures performed by gynecologists. The review presents the main trends of development of modern surgery in gynecology with the author's personal views on the key contentious issues of endoscopic sinus surgery.

Surgery for short sight?

1991 ◽  
Vol 29 (17) ◽  
pp. 65-66
Keyword(s):  
Surgical Procedures ◽  
Surgical Procedure ◽  
Contact Lenses ◽  
Photorefractive Keratectomy ◽  
Radial Keratotomy ◽  
The Press ◽  
Potential Demand ◽  
The Subject

People with short sight may learn of surgical procedures which enable them to see clearly without spectacles or contact lenses, often from articles in the press. These may present a somewhat rosy view of the subject; complications can follow any surgical procedure and surgery for myopia is no exception. The potential demand for such surgery is huge; about 5% of people in Britain have myopia in the range from −2 to −8 dioptres. Two procedures are used to correct myopia in these patients: radial keratotomy and laser photorefractive keratectomy.

PS01.026: CHANGES IN SURGICAL PROCEDURES AND SHORT-TERM OUTCOMES FOR ACHALASIA SINCE THE INTRODUCTION OF POEM

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 57-57
Author(s):  
Fumiaki Yano ◽  
Nobuo Omura ◽  
Kazuto Tsuboi ◽  
Masato Hoshino ◽  
Se-Ryung Yamamoto ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Reflux Esophagitis ◽  
Surgical Procedure ◽  
Conflicts Of Interest ◽  
Treatment Options ◽  
Balloon Dilation ◽  
Short Term ◽  
Reduced Port Surgery ◽  
Advantages And Disadvantages ◽  
Postoperative Reflux

Abstract Background In our institution, laparoscopic Heller-Dor procedure (LHD) has been the first-line surgical procedure for achalasia since the introduction in August 1994, and 578 patients underwent LHD until January 2018. In January 2016, per-oral endoscopic myotomy (POEM) was started, taking into patients’ needs into consideration. Since then, treatment options have expanded to include balloon dilation, conventional LHD, LHD by reduced port surgery (RPS), LHD by needlescopic surgery (NS), and POEM. Here, we report changes we have observed in surgical procedures and short-term outcomes since the introduction of POEM. Methods The subjects were 82 patients (mean age 47.4 ± 14.7 years, 39 women) who underwent surgery for achalasia from January 2016 to January 2018. After explaining the advantages and disadvantages, the choice of surgical procedure was decided by the patient. Results The surgical procedures consisted of LHD in 57 (including 1 RPS and 33 NS) and POEM in 25 patients. A total of 7 peri-operative complications (POEM = 1) were observed in 7 patients (9%), consisting of gastroesophageal mucosal injury (7%, LHD) and injuring of esophageal longitudinal muscles (2%, POEM), while dysphagia improved in all patients. Postoperative reflux esophagitis was observed in 9 patients with POEM (36%), which was significantly higher than 6 patients (11%) in LHD (P = 0.0173). Conclusion While 30% of patients underwent POEM, reflux esophagitis occurred at a higher rate in POEM as compared to LHD. Disclosure All authors have declared no conflicts of interest.

scholarly journals Incidence of Horner syndrome associated with neuroblastic disease

2020 ◽  
Author(s):  
Katarzyna Kuchalska ◽  
Monika Barełkowska ◽  
Katarzyna Derwich ◽  
Katarzyna Jończyk-Potoczna ◽  
Anna Gotz-Więckowska
Keyword(s):  
Adrenal Gland ◽  
Retrospective Analysis ◽  
Surgical Procedures ◽  
Pediatric Oncology ◽  
Surgical Procedure ◽  
Pediatric Patients ◽  
Study Group ◽  
Horner Syndrome ◽  
Neuroblastic Tumor ◽  
Frequent Localization

Abstract Purpose Horner syndrome (HS) manifests in unilateral ptosis, miosis, enophthalmos, and anhedonia. It is most commonly caused by trauma or surgical procedures, but can also occur in pediatric patients as a result of tumors, especially neuroblastoma (NBL). The objective of this study was to analyze the incidence of HS in patients diagnosed with NBL. Methods A retrospective analysis of data collected at the Department of Pediatric Oncology, Hematology, and Transplantology from 2004 to 2019 was performed. The study group included 119 patients younger than 18 years old, with 62 girls and 57 boys. All of them were diagnosed with a neuroblastic tumor. Results Among the 119 patients, eight children (6.72%) were diagnosed with HS associated with NBL. Three of these patients presented to the clinic with HS, whereas HS developed after the surgical procedure to remove the tumor in four patients. The adrenal gland was the most frequent localization of the tumor. However, HS occurred more frequently in patients with mediastinum tumors. As a presenting symptom, HS occurred in 2 of 11 cases (18.18%) with mediastinum localization. All of the patients with HS were younger than 2 years old. Conclusion Investigation of the cause of isolated HS is crucial because it can be the first symptom of NBL. However, the surgical procedure itself increases the risk of HS as a complication of NBL treatment.

scholarly journals Surgery and anesthesia in sickle cell disease. Cooperative Study of Sickle Cell Diseases

Blood ◽  
1995 ◽  
Vol 86 (10) ◽  
pp. 3676-3684 ◽  
Author(s):  
M Koshy ◽  
SJ Weiner ◽  
ST Miller ◽  
LA Sleeper ◽  
E Vichinsky ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Sickle Cell Disease ◽  
General Anesthesia ◽  
Sickle Cell ◽  
Surgical Procedures ◽  
Surgical Procedure ◽  
Complication Rates ◽  
Cooperative Study ◽  
Cell Disease

From 1978 to 1988, The Cooperative Study of Sickle Cell Disease observed 3,765 patients with a mean follow-up of 5.3 +/- 2.0 years. One thousand seventy-nine surgical procedures were conducted on 717 patients (77% sickle cell anemia [SS], 14% sickle hemoglobin C disease [SC], 5.7% S beta zero thalassemia, 3% S beta zero + thalassemia). Sixty-nine percent had a single procedure, 21% had two procedures, and the remaining 11% had more than two procedures during the study follow- up. The most frequent procedure was abdominal surgery for cholecystectomy or splenectomy (24% of all surgical procedures, N = 258). Of these, 93% received blood transfusion, and there was no association between preoperative hemoglobin A level and complication rates (except reduction in pain crisis). Overall mortality within 30 days of a surgical procedure was 1.1% (12 deaths after 1,079 surgical procedures). Three deaths were considered to be related to the surgical procedure and/or anesthesia (0.3%). No deaths were reported in patients younger than 14 years of age. Sickle cell diseases (SCD)-related complications after surgery were more frequent in SS patients who received regional compared with general anesthesia (adjusted for risk level of the surgical procedure, patient age, and preoperative transfusion status, P = .058). Non-SCD-related postoperative complications were higher in both SS and SC patients who received regional compared with those who received general anesthesia (P =.095). Perioperative transfusion was associated with a lower rate of SCD- related postoperative complications for SS patients undergoing low-risk procedures (P = .006, adjusted for age and type of anesthesia), with crude rated of 12.9% without transfusion compared with 4.8% with transfusion. In SC patients, preoperative transfusion was beneficial for all surgical risk levels (P = .009). Thus, surgical procedures can be performed safely in patients with SCD.

scholarly journals Association of type 2 diabetes with in-hospital complications among women undergoing breast cancer surgical procedures. A retrospective study using the Spanish National Hospital Discharge Database, 2013–2014

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017676 ◽  
Author(s):  
Ana Lopez-de-Andres ◽  
Isabel Jimenez-Trujillo ◽  
Valentin Hernandez-Barrera ◽  
Javier de Miguel-Diez ◽  
Manuel Mendez-Bailon ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Type 2 Diabetes ◽  
Retrospective Study ◽  
Hospital Discharge ◽  
Surgical Procedures ◽  
Surgical Procedure ◽  
National Hospital ◽  
Hospital Discharge Database ◽  
Discharge Database

ObjectivesTo compare the type of surgical procedures used, comorbidities, in-hospital complications (IHC) and in-hospital outcomes between women with type 2 diabetes mellitus (T2DM) and age-matched women without diabetes who were hospitalised with breast cancer. In addition, we sought to identify factors associated with IHC in women with T2DM who had undergone surgical procedures for breast cancer.DesignRetrospective study using the National Hospital Discharge Database, 2013–2014.SettingSpain.ParticipantsWomen who were aged ≥40 years with a primary diagnosis of breast cancer and who had undergone a surgical procedure. We grouped admissions by T2DM status. We selected one matched control for each T2DM case.Main outcome measuresThe type of procedure (breast-conserving surgery (BCS) or mastectomy), clinical characteristics, complications, length of hospital stay and in-hospital mortality.ResultsWe identified 41 458 admissions (9.23% with T2DM). Overall, and in addition to the surgical procedure, we found that comorbidity, hypertension and obesity were more common among patients with T2DM. We also detected a higher incidence of mastectomy in women with T2DM (44.69% vs 42.42%) and a greater rate of BCS in patients without T2DM (57.58% vs 55.31%). Overall, non-infectious complications were more common among women with T2DM (6.40% vs 4.56%). Among women who had undergone BCS or a mastectomy, IHC were more frequent among diabetics (5.57% vs 3.04% and 10.60% vs 8.24%, respectively). Comorbidity was significantly associated with a higher risk of IHC in women with diabetes, independent of the specific procedure used.provinceConclusionsWomen with T2DM who undergo surgical breast cancer procedures have more comorbidity, risk factors and advanced cancer presentations than matched patients without T2DM. Mastectomies are more common in women with T2DM. Moreover, the procedures among women with T2DM were associated with greater IHC. Comorbidity was a strong predictor of IHC in women with T2DM.

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