scholarly journals The association of gender and body mass index with postoperative pain scores when undergoing ankle fracture surgery

2014 ◽  
Vol 30 (2) ◽  
pp. 248 ◽  
Author(s):  
SamuelRobert Grodofsky ◽  
AshishC Sinha
Keyword(s):  
Body Mass Index ◽  
Postoperative Pain ◽  
Body Mass ◽  
Ankle Fracture ◽  
Pain Scores ◽  
Fracture Surgery

Comparison of Surgical Site Infections in Ankle Fracture Surgery With or Without the Use of Postoperative Antibiotics

2018 ◽  
Vol 39 (11) ◽  
pp. 1278-1282 ◽  
Author(s):  
James Robert Lachman ◽  
Justin I. Elkrief ◽  
Paul S. Pipitone ◽  
Christopher L. Haydel
Keyword(s):  
Body Mass Index ◽  
Operating Room ◽  
Body Mass ◽  
Ankle Fracture ◽  
Outpatient Surgery ◽  
Smoking Status ◽  
Oral Antibiotics ◽  
Hiv Status ◽  
Diabetes Status ◽  
Fracture Surgery

Background: Surgeon preference has been replaced by an approach using evidence-based medicine in clinical decision making. The use of postoperative antibiosis in ankle fracture surgery is more common for inpatients but variable for outpatient surgery. Some surgeons prefer to prescribe 24 hours of oral antibiotics, whereas others give no antibiotics at all postoperatively. In this study, inpatients receiving 24 hours of intravenous antibiotics were compared to those patients receiving 24 hours of oral antibiotics and those receiving no postoperative antibiotics. Methods: A total of 1442 patients with ankle fractures requiring operative fixation were retrospectively reviewed in this multicenter study. Demographic data including age, sex, and body mass index were collected. Clinical data including diabetes status, smoking status, hepatitis C virus (HCV) or human immunodeficiency virus (HIV) status, infection requiring additional antibiotics, and infection requiring return to operating room (RTOR) were compared across the groups. Results: No differences in incidence of cellulitis or return to OR for infection were demonstrated between the 3 groups. No differences were noted among the groups for any risk factors for infection including body mass index, previous infection, smoking status, HCV/HIV status, or diabetes. The rates of cellulitis ( P = .402), infection requiring additional antibiotics ( P = .563), and infection requiring return to the operating room ( P = .878) showed no difference between the groups. Conclusion: The use of antibiotics postoperatively did not decrease the incidence of surgical site infection. The findings in this study suggest that the routine use of postoperative antibiotics after ankle fracture surgery is not beneficial. Level of Evidence: Level III, retrospective comparative study.

scholarly journals The effect of body mass index in pain scores in patients who underwent prostate biopsy

2016 ◽  
Vol 15 (5) ◽  
pp. e1181
Author(s):  
D. Bolat ◽  
M.E. Aydin ◽  
T. Degirmenci ◽  
Y.K. Topcu ◽  
O. Aydogdu ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Prostate Biopsy ◽  
Pain Scores

scholarly journals Modified transperitoneal versus retroperitoneal laparoscopic radical nephroureterectomy in the management of upper urinary tract urothelial carcinoma: Best practice in a single center with updated results

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092878
Author(s):  
Kun Ye ◽  
Zhaohui Zhong ◽  
Liang Zhu ◽  
Jiannan Ren ◽  
Ming Xiao ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Urinary Tract ◽  
Postoperative Pain ◽  
Urothelial Carcinoma ◽  
Body Mass ◽  
Upper Urinary Tract ◽  
Perioperative Outcomes ◽  
Radical Nephroureterectomy ◽  
Baseline Characteristics ◽  
Urinary Tract Urothelial Carcinoma

Objective Radical nephroureterectomy remains the gold standard for the surgical treatment of upper urinary tract urothelial carcinoma (UTUC). Based on previous research, we prospectively compared the advantages of transperitoneal laparoscopic radical nephroureterectomy (TLNU) with a three-port technique in a single position versus retroperitoneal laparoscopic radical nephroureterectomy (RLNU). Methods We evaluated 48 patients diagnosed with UTUC at our institution from January 2015 to October 2019. The patients underwent either TLNU (n = 24) or RLNU (n = 24). We randomly assigned the patients to each technique group based on their body mass index because our experience has shown that the body mass index is the main interfering factor for this surgery. The baseline characteristics and perioperative outcomes were compared between the groups. Results We found no significant differences in the baseline characteristics, time until recovery of intestinal function, or postoperative hospital stay between the two groups. However, the TLNU group had a shorter operation time and better postoperative pain control than the RLNU group. Conclusion Modified TLNU is associated with a shorter operative time and less severe postoperative pain compared with RLNU. Both techniques are safe and reliable with adequate management, and their therapeutic effects are comparable in other aspects.

scholarly journals Local Infiltration Analgesia with Ropivacaine Improves Postoperative Pain Control in Ankle Fracture Patients: A Retrospective Cohort Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Bao-Liang Li ◽  
Xizhe Liu ◽  
Lihua Cui ◽  
Wenqian Zhang ◽  
Hui Pang ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Ankle Fracture ◽  
Retrospective Cohort ◽  
Wound Complications ◽  
Local Infiltration Analgesia ◽  
Local Infiltration ◽  
Superficial Wound ◽  
Vas Scores ◽  
Fracture Surgery ◽  
Infiltration Analgesia

Purpose. The study aimed at investigating the effect of local infiltration analgesia (LIA) with ropivacaine on postoperative analgesia for patients undergoing ankle fracture surgery. Methods. Consecutive patients were retrospectively included and analysed according to their medical records from July 2014 to August 2018 in a tertiary hospital. Inclusion criteria were patients undergoing open reduction and internal fixation (ORIF) for ankle fractures under general anaesthesia. Moreover, patients should have received intravenous patient-controlled analgesia (iPCA) or LIA + iPCA for postoperative pain relief. The primary outcome indicator was visual analogue scale (VAS) from 8 hours to 48 hours after surgery. Secondary outcomes included postoperative opioid requirement, need for rescue medication, opioid-related adverse effects, and wound complications. Results. In total, 89 consecutive patients were included in the study. There were 48 males and 41 females. The average age was 44.6 ± 7.0 years, and VAS scores were significantly lower in the LIA + iPCA group at 8 hours after surgery (1.51 ± 0.58 cm vs 4.77 ± 1.83 cm, p<0.001). The time to first tramadol consumption was longer (580 ± 60.9 minutes vs 281 ± 86.4 minutes, p<0.001), and the number of patients who need tramadol was lower in the LIA + iPCA group (18 vs 26, p=0.04). There was a statistically significant reduction in morphine consumption (25.1 ± 6.3 mg vs 73.4 ± 8.2 mg, p<0.001) and opioid-related side effects in the LIA + iPCA group (4 vs 10, p=0.023). No major wound complications were noted in either group. However, there were 2 cases with superficial wound necrosis in group LIA + iPCA and 3 patients with superficial wound necrosis in group iPCA, and all cured by local wound care. Conclusions. The retrospective cohort study indicates that LIA with ropivacaine can provide better early postoperative pain management with a reduction of VAS scores for ankle fracture surgery. Patients receiving wound infiltration also experience decreased opioid consumption, a lower rate of analgesia-related side effects, and comparable wound complication rate.

Body mass index, risk of allogeneic red blood cell transfusion, and mortality in elderly patients undergoing hip fracture surgery

2016 ◽  
Vol 27 (9) ◽  
pp. 2765-2775 ◽  
Author(s):  
A. B. Pedersen ◽  
D. Cronin Fenton ◽  
M. Nørgaard ◽  
N. R. Kristensen ◽  
B. Kuno Møller ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Hip Fracture ◽  
Elderly Patients ◽  
Blood Cell ◽  
Body Mass ◽  
Red Blood Cell ◽  
Red Blood Cell Transfusion ◽  
Hip Fracture Surgery ◽  
Fracture Surgery
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