scholarly journals Fan-Shaped Application of Local Abdominal Wall Analgesia in Abdominoplasty Patients: Does the Technique Lead to Better Recovery?

2021 ◽  
Author(s):  
Dinko Bagatin ◽  
Tomica Bagatin ◽  
Judith Deutsch ◽  
Katarina Sakic ◽  
Johann Nemrava ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Enhanced Recovery ◽  
Postoperative Recovery ◽  
The Body ◽  
Duration Of Action ◽  
Art Form ◽  
Pain Receptors ◽  
Great Pain ◽  
General Aspects ◽  
Improve Patient

Plastic surgery can be considered an art form, molding and shaping areas of the body to provide enhancement and visual improvements. During this process, anesthesia is a key role player, for both local and general aspects. Proper combinations of local and general anesthesia can provide not only great pain relief and the ability to perform the artwork of plastic surgery, but can also lead to better and faster postoperative recovery of patients. Take a moment to imagine doing our skills without anesthesia, not only would it be barbaric, but also unethical. The method of using fan-shaped anesthesia application will be explored as a technique to improve patient recovery. This, instead of the classic straightforward areal injection application, seems to provide improved anesthetic distribution, penetrates layers better, and offers a swifter and more efficient way of blocking pain receptors. Choosing an appropriate anesthetic from the various ones available today is very important for pain control and postoperative recovery, as well as combining it with other drugs to increase its duration of action. This medley of drug combinations provides patient satisfaction and enhanced recovery.

Robotics and Reproductive Surgery

2017 ◽  
Vol 35 (04) ◽  
pp. 364-377 ◽  
Author(s):  
Ian Waldman ◽  
Antonio Gargiulo ◽  
Stephanie Estes
Keyword(s):  
Surgical Care ◽  
Postoperative Recovery ◽  
Natural Orifice ◽  
Robotic Technology ◽  
Patient Centered ◽  
Patient Acceptability ◽  
Conscious Patient ◽  
Recovery Pathways ◽  
Sterilization Reversal ◽  
Improve Patient

AbstractRobotic technology applied to laparoscopy augments the armamentarium of the reproductive specialist. Uterine leiomyomas, adenomyosis, endometriosis, adnexal masses, sterilization reversal, and fertility preservation techniques can all be addressed with a robotic surgery skill set. Additionally, new approaches with single site and natural orifice surgery will continue to maximize advanced opportunities for safe, effective, and cosmetically conscious (patient-centered) approaches to surgical care. Enhanced postoperative recovery pathways are fully adaptable to these robotic procedures and improve patient acceptability while controlling costs.

ERAS Improves Postoperative Recovery in Children

2021 ◽  
Author(s):  
Tingmei Wu ◽  
Haiwen Li ◽  
Huixia Zhou ◽  
Xuemei Hao ◽  
Xiaojun Wang ◽  
...  
Keyword(s):  
Inflammatory Cytokine ◽  
Enhanced Recovery ◽  
Length Of Hospital Stay ◽  
Final Analysis ◽  
Postoperative Recovery ◽  
Controlled Study ◽  
Control Group ◽  
Robot Assisted ◽  
Cytokine Levels ◽  
Eras Protocol

Abstract Objective: Enhanced recovery after surgery (ERAS) protocols are established in adults but not fully evaluated in children. This study investigated whether an ERAS protocol improved recovery and influenced postoperative inflammatory cytokine levels in children undergoing surgery for hydronephrosis. Methods: This randomized controlled study included patients who underwent robot-assisted laparoscopic surgery for hydronephrosis at Bayi Children's Hospital (Beijing, China) between October 2018 and September 2019. Patients were randomized to an ERAS group (perioperative ERAS protocol) or control group (standard perioperative management). Outcomes related to postoperative recovery and inflammatory cytokine levels were evaluated. Results: The final analysis included 18 patients in each group. Five patients (27.78%) in each group experienced postoperative complications (abdominal pain, nausea and vomiting, subcutaneous emphysema or fever). The ERAS group had a shorter time to first postoperative flatus than the control group (25 vs. 49 hours; P =0.009), although the time for abdominal drainage flow to reach ≤20 mL/day, time to urinary catheter removal and length of hospital stay did not differ significantly between groups. Preoperative plasma cytokine levels were comparable between groups. Compared with the control group, the ERAS group had a higher IL-6 level on postoperative day 2 ( P <0.05) and a lower concentration of IL-1β on postoperative days 1 and 2 ( P <0.05). Postoperative levels of CRP, TNFα and IL-10 did not differ significantly between groups. Conclusions: ERAS may accelerate postoperative recovery and modulate the postoperative inflammatory response in pediatric patients undergoing robot-assisted laparoscopic pyeloplasty for hydronephrosis.

scholarly journals Many small steps to reducing length of stay: A visit to the DH pilot enhanced recovery scheme

2010 ◽  
Vol 92 (8) ◽  
pp. 266-268
Author(s):  
Matthew Worrall
Keyword(s):  
Length Of Stay ◽  
Health Service ◽  
Patient Experience ◽  
Enhanced Recovery ◽  
Enhanced Recovery Programme ◽  
Department Of Health ◽  
Recovery Scheme ◽  
Hospital Stays ◽  
Improve Patient

Enhanced recovery (ER) is one of the current buzz terms in the health service but it seems to mean a different thing depending on to whom you speak. The Department of Health (DH) invited applications from acute trusts across England to become 'innovation sites' for the enhanced recovery programme. These sites are supported by DH as they implement a defined programme that aims to improve patient experience through shorter hospital stays. The Bulletin spent a day at one of them, West Hertfordshire Hospitals NHS Trust, to witness the changes made.

scholarly journals Enhanced recovery after surgery protocol for prostate cancer patients undergoing laparoscopic radical prostatectomy

2018 ◽  
Vol 47 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Chunhua Lin ◽  
Fengchun Wan ◽  
Youyi Lu ◽  
Guojun Li ◽  
Luxin Yu ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Cancer Patients ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
The Body ◽  
Laparoscopic Radical Prostatectomy ◽  
Control Group ◽  
Tube Removal ◽  
Hospitalization Costs

Objective To determine the value of an enhanced recovery after surgery (ERAS) protocol for prostate cancer patients undergoing laparoscopic radical prostatectomy (LRP). Methods We conducted a retrospective cohort study using clinical data for 288 patients who underwent LRP in our hospital from June 2010 to December 2016. A total of 124 patients underwent ERAS (ERAS group) and the remaining 164 patients were allocated to the control group. ERAS comprised prehabilitation exercise, carbohydrate fluid loading, targeted intraoperative fluid resuscitation and keeping the body warm, avoiding drain use, early mobilization, and early postoperative drinking and eating. Results The times from LRP to first water intake, first ambulation, first anal exhaust, first defecation, pelvic drainage-tube removal, and length of hospital stay (LOS) were all significantly shorter, and hospitalization costs and the incidence of postoperative complications were significantly lower in the ERAS group compared with the control group. No deaths or reoperations occurred in either group, and there were no readmissions in the ERAS group, within 90 days after surgery. Conclusion ERAS protocols may effectively accelerate patient rehabilitation and reduce LOS and hospitalization costs in patients undergoing LRP.

Body Image and Acceptance of Plastic Surgery Among College Students in South Korea

2021 ◽  
Vol 10 (2) ◽  
pp. 104-115
Author(s):  
Kathy L. Lin ◽  
Vaishali V. Raval ◽  
Ji-Yeon Lee
Keyword(s):  
College Students ◽  
Body Image ◽  
South Korea ◽  
Plastic Surgery ◽  
Cultural Context ◽  
Filial Piety ◽  
The Body ◽  
Negative Evaluation ◽  
Self Report ◽  
Sociocultural Factors

Abstract. Studied more extensively in Western societies, body image in other cultures is less researched. South Korea provides a unique context to examine body image given its flourishing plastic surgery industry, which is indicative of negative body image and plastic surgery acceptance. The current study examined whether relevant sociocultural factors in South Korea (i.e., fear of negative evaluation [FNE] and filial piety [FP]) play a role in the association between body image and acceptance of plastic surgery. College students in South Korea ( n = 227) completed self-report measures of body image, FNE, FP, and acceptance of plastic surgery. Students with plastic surgery experience reported greater FNE and acceptance of plastic surgery than those without. Significant negative indirect effects of body image on acceptance of plastic surgery through FNE were found in the full sample. FP was found to moderate the body image-acceptance of plastic surgery link such that for individuals low in FP, lower body areas satisfaction was associated with greater acceptance of plastic surgery. The findings highlight the importance of understanding body image within a cultural context and provide implications for body image concerns in South Korean individuals.

scholarly journals Clitorial inclusion cyst in an adult: a rare presentation

2019 ◽  
Vol 8 (8) ◽  
pp. 3374
Author(s):  
Tanweerul Huda ◽  
Tarun Sutrave ◽  
Bharati Pandya
Keyword(s):  
Postoperative Recovery ◽  
Cystic Mass ◽  
The Body ◽  
Inclusion Cyst ◽  
Rare Presentation ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Rare Site ◽  
Local Examination

Dermoid cysts are benign lesions that grow slowly and can occur anywhere in the body. Clitoris is an extremely rare site for dermoids cysts. We present a case of inclusion cyst of clitoris in a middle aged woman, who had it for 10 years before presenting for relief from her symptoms. Local examination revealed a 3 cm X 4 cm size cystic mass at the clitoris giving it an appearance of clitoromegaly. She underwent an excision of the cyst at our hospital with the histopathology report suggesting the lesion to be a dermoid cyst. Postoperative recovery was uneventful with no evidence of recurrence on follow up.

Attempts to establish New Experimental Methods to study Antitumoral Drugs

1967 ◽  
Vol 17 (1) ◽  
pp. 60-66 ◽  
Author(s):  
S. Garattini ◽  
M. G. Donelli ◽  
L. Morasca ◽  
C. Rainisio ◽  
R. Rosso
Keyword(s):  
Tissue Culture ◽  
Cancer Chemotherapy ◽  
Experimental Methods ◽  
The Body ◽  
Duration Of Action ◽  
Study Duration ◽  
Cancer Dissemination ◽  
Perfuse Tissue

SummaryThis paper summarizes some studies recently carried out in this Institute in the field of cancer chemotherapy.Three main groups of data are reported:a) different sensitivity to chemotherapy of the same tumor transplanted in different sites of the body;b) a method to study cancer dissemination as a basis for cancer chemotherapy;c) a system to perfuse tissue culture with the blood of living animals as an approach to study duration of action of antitumoral drugs.

scholarly journals Omega-3 Fatty Acids for Sport Performance—Are They Equally Beneficial for Athletes and Amateurs? A Narrative Review

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3712
Author(s):  
Frank Thielecke ◽  
Andrew Blannin
Keyword(s):  
Fatty Acids ◽  
Immune Modulation ◽  
Enhanced Recovery ◽  
Sport Performance ◽  
The Body ◽  
Endurance Capacity ◽  
Omega 3 Fatty Acids ◽  
Omega 3 ◽  
Beneficial Effects ◽  
Clinical Endpoints

Omega-3 fatty acids, specifically eicosapentanoic acid (EPA, 20:5n-3) and docosahexanoic acid (DHA, 22:6n-3) are receiving increasing attention in sports nutrition. While the usual focus is that of athletes, questions remain if the different training status between athletes and amateurs influences the response to EPA/DHA, and as to whether amateurs would benefit from EPA/DHA supplementation. We critically examine the efficacy of EPA/DHA on performance, recovery and injury/reduced risk of illness in athletes as well as amateurs. Relevant studies conducted in amateurs will not only broaden the body of evidence but shed more light on the effects of EPA/DHA in professionally trained vs. amateur populations. Overall, studies of EPA/DHA supplementation in sport performance are few and research designs rather diverse. Several studies suggest a potentially beneficial effect of EPA/DHA on performance by improved endurance capacity and delayed onset of muscle soreness, as well as on markers related to enhanced recovery and immune modulation. The majority of these studies are conducted in amateurs. While the evidence seems to broadly support beneficial effects of EPA/DHA supplementation for athletes and more so in amateurs, strong conclusions and clear recommendations about the use of EPA/DHA supplementation are currently hampered by inconsistent translation into clinical endpoints.

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