Latest & greatest articles for surgery

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Top results for surgery

161. Should thoracic paravertebral blocks be used to prevent chronic postsurgical pain after breast cancer surgery? A systematic analysis of evidence in light of IMMPACT recommendations

Should thoracic paravertebral blocks be used to prevent chronic postsurgical pain after breast cancer surgery? A systematic analysis of evidence in light of IMMPACT recommendations 29794879 2018 06 22 1872-6623 2018 May 23 Pain Pain Should thoracic paravertebral blocks be used to prevent chronic postsurgical pain after breast cancer surgery? A systematic analysis of evidence in light of IMMPACT recommendations. 10.1097/j.pain.0000000000001292 The role of thoracic paravertebral block (PVB (...) ) in preventing chronic postsurgical pain (CPSP) after breast cancer surgery (BCS) has gained interest, but existing evidence is conflicting, and its methodological quality is unclear. This meta-analysis evaluates efficacy of PVB, compared with Control group, in preventing CPSP after BCS, in light of the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) recommendations. Electronic databases were searched for randomized trials comparing PVB with Control group for CPSP

EvidenceUpdates2018

162. Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial

Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial 29975203 2018 08 14 1528-1175 129 3 2018 Sep Anesthesiology Anesthesiology Preoperative Fascia Iliaca Block Does Not Improve Analgesia after Arthroscopic Hip Surgery, but Causes Quadriceps Muscles Weakness: A Randomized, Double-blind Trial. 536-543 10.1097/ALN.0000000000002321 WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND (...) received an intraarticular injection of 10-ml ropivacaine 0.2% at procedure end. Primary study endpoint was highest pain score reported in the recovery room; other study endpoints were pain scores and opioid use 24 h after surgery. Additionally, quadriceps strength was measured to identify leg weakness. The analysis included 78 patients. Highest pain scores in the recovery room were similar in the block group (6 ± 2) versus placebo group (7 ± 2), difference: -0.2 (95% CI, -1.1 to 0.7), as was opioid

EvidenceUpdates2018

163. Sustained Preoperative Opioid Use Is a Predictor of Continued Use Following Spine Surgery

Sustained Preoperative Opioid Use Is a Predictor of Continued Use Following Spine Surgery 29870441 2018 06 05 1535-1386 100 11 2018 Jun 06 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am Sustained Preoperative Opioid Use Is a Predictor of Continued Use Following Spine Surgery. 914-921 10.2106/JBJS.17.00862 Preoperative opioid use is known to increase the likelihood of complications and inferior outcomes following spine surgery. We evaluated the association (...) surgery discontinue these medications following surgical intervention. Among those who continue opioid use ≥90 days after the surgical procedure, the duration of preoperative use appears to be the most important predictor. Schoenfeld Andrew J AJ Department of Orthopaedic Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Belmont Philip J PJ Jr Departments of Surgery (P.J.B.) and Preventive Medicine and Biostatistics (T.K

EvidenceUpdates2018

164. Readiness for Discharge After Foot and Ankle Surgery Using Peripheral Nerve Blocks: A Randomized Controlled Trial Comparing Spinal and General Anesthesia as Supplements to Nerve Blocks

Readiness for Discharge After Foot and Ankle Surgery Using Peripheral Nerve Blocks: A Randomized Controlled Trial Comparing Spinal and General Anesthesia as Supplements to Nerve Blocks 29847387 2018 08 16 1526-7598 127 3 2018 Sep Anesthesia and analgesia Anesth. Analg. Readiness for Discharge After Foot and Ankle Surgery Using Peripheral Nerve Blocks: A Randomized Controlled Trial Comparing Spinal and General Anesthesia as Supplements to Nerve Blocks. 759-766 10.1213/ANE.0000000000003456 (...) Neuraxial anesthesia is often viewed as superior to general anesthesia but may delay discharge. Comparisons do not typically use multimodal analgesics and nerve blockade. Combining nerve blockade with general anesthesia may reduce pain, opioid consumption, and nausea. We hypothesized that general anesthesia (with nerve blocks) would lead to earlier readiness for discharge, compared to spinal anesthesia (with nerve blocks). All patients underwent ambulatory foot and ankle surgery, with a predicted case

EvidenceUpdates2018

165. Meta-analysis of in-hospital delay before surgery as a risk factor for complications in patients with acute appendicitis

Meta-analysis of in-hospital delay before surgery as a risk factor for complications in patients with acute appendicitis 29902346 2018 07 13 1365-2168 105 8 2018 Jul The British journal of surgery Br J Surg Meta-analysis of in-hospital delay before surgery as a risk factor for complications in patients with acute appendicitis. 933-945 10.1002/bjs.10873 The traditional fear that every case of acute appendicitis will eventually perforate has led to the generally accepted emergency appendicectomy (...) with minimized delay. However, emergency and thereby sometimes night-time surgery is associated with several drawbacks, whereas the consequences of surgery after limited delay are unclear. This systematic review aimed to assess in-hospital delay before surgery as risk factor for complicated appendicitis and postoperative morbidity in patients with acute appendicitis. PubMed and EMBASE were searched from 1990 to 2016 for studies including patients who underwent appendicectomy for acute appendicitis, reported

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

166. Surgery

Surgery Top results for surgery - Trip Database or use your Google+ account Turning Research Into Practice My query is: English Français Deutsch Čeština Español Magyar Svenska ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing (...) the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for surgery The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory

Trip Latest and Greatest2018

167. Denosumab (Xgeva) - Prevention of skeletal related events (pathological fracture, radiation to bone, spinal cord compression or surgery to bone) in adults with haematological malignancies involving bone.

Denosumab (Xgeva) - Prevention of skeletal related events (pathological fracture, radiation to bone, spinal cord compression or surgery to bone) in adults with haematological malignancies involving bone. denosumab 120mg solution for injection (Xgeva ® ) SMC2110 Amgen Ltd 6 July 2018 ADVICE: in the absence of a submission from the holder of the marketing authorisation denosumab (Xgeva ® ) is not recommended for use within NHSScotland. Indication under review: Prevention of skeletal related (...) events (pathological fracture, radiation to bone, spinal cord compression or surgery to bone) in adults with haematological malignancies involving bone. The holder of the marketing authorisation has not made a submission to SMC regarding this product in this setting. As a result we cannot recommend its use within NHSScotland. Advice context: No part of this advice may be used without the whole of the advice being quoted in full. This advice represents the view of the Scottish Medicines Consortium

Scottish Medicines Consortium2018

168. Patient satisfaction with the consent discussion is not improved by showing patients their computed tomography or angiography images before they undergo vascular surgery

Patient satisfaction with the consent discussion is not improved by showing patients their computed tomography or angiography images before they undergo vascular surgery 29779961 2018 05 21 1097-6809 2018 May 18 Journal of vascular surgery J. Vasc. Surg. Patient satisfaction with the consent discussion is not improved by showing patients their computed tomography or angiography images before they undergo vascular surgery. S0741-5214(18)30427-0 10.1016/j.jvs.2018.02.029 Patient-based decision (...) discussion does not improve the patient's satisfaction with the consent discussion. Similarly, there was no effect on the patient's trust, understanding, or anxiety level. Our conclusions are limited by the lack of a standardized measure of patient understanding and not measuring outcomes postoperatively, both of which should be considered in future studies. Copyright © 2018 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved. LeBlanc Dominic D Division of Vascular Surgery

EvidenceUpdates2018

169. Meta-Analysis of Repeat Revascularization of Off-Pump and On-Pump Coronary Artery Bypass Surgery

Meta-Analysis of Repeat Revascularization of Off-Pump and On-Pump Coronary Artery Bypass Surgery 29608874 2018 07 24 1552-6259 106 2 2018 Aug The Annals of thoracic surgery Ann. Thorac. Surg. Meta-Analysis of Repeat Revascularization of Off-Pump and On-Pump Coronary Artery Bypass Surgery. 526-531 S0003-4975(18)30408-9 10.1016/j.athoracsur.2018.02.068 There is an ongoing debate focusing on clinical outcomes after off-pump coronary artery bypass graft surgery (OPCABG) and on-pump coronary (...) artery bypass graft surgery (ONCABG). The objective of the present meta-analysis is to update and compare repeat revascularization rates between OPCABG and ONCABG procedures. Data sources including PubMed, EMBASE, Cochrane Library, and ISI Web of Knowledge were searched between 1966 and October 2017. Studies considered for inclusion should conform to the following criteria: prospective randomized clinical trials comparing OPCABG and ONCABG. Outcome should include repeat revascularization rate at the time of 1-month, 1

EvidenceUpdates2018

170. Intraoperative Methadone in Same-Day Ambulatory Surgery: A Randomized, Double-Blinded, Dose-Finding Pilot Study

Intraoperative Methadone in Same-Day Ambulatory Surgery: A Randomized, Double-Blinded, Dose-Finding Pilot Study 29847382 2018 05 30 1526-7598 2018 May 25 Anesthesia and analgesia Anesth. Analg. Intraoperative Methadone in Same-Day Ambulatory Surgery: A Randomized, Double-Blinded, Dose-Finding Pilot Study. 10.1213/ANE.0000000000003464 Approximately 50 million US patients undergo ambulatory surgery annually. Postoperative opioid overprescribing is problematic, yet many patients report inadequate (...) pain relief. In major inpatient surgery, intraoperative single-dose methadone produces better analgesia and reduces opioid use compared with conventional repeated dosing of short-duration opioids. This investigation tested the hypothesis that in same-day ambulatory surgery, intraoperative methadone, compared with short-duration opioids, reduces opioid consumption and pain, and determined an effective intraoperative induction dose of methadone for same-day ambulatory surgery. A double-blind, dose

EvidenceUpdates2018

171. The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification system predicts wound healing better than direct angiosome perfusion in diabetic foot wounds

The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification system predicts wound healing better than direct angiosome perfusion in diabetic foot wounds 29803684 2018 05 27 1097-6809 2018 May 23 Journal of vascular surgery J. Vasc. Surg. The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification system predicts wound healing better than direct angiosome perfusion in diabetic foot wounds. S0741-5214(18)30418-X 10.1016/j.jvs (...) .2018.01.060 Previous studies show conflicting results in wound healing outcomes based on angiosome direct perfusion (DP), but few have adjusted for wound characteristics in their analyses. We have previously shown that the Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification correlates with wound healing in diabetic foot ulcers (DFUs) treated by a multidisciplinary team. The aim of this study was to compare WIfI classification vs DP and pedal arch patency as predictors

EvidenceUpdates2018

172. A mixed-method systematic review of the effectiveness and acceptability of preoperative psychological preparation programmes to reduce paediatric preoperative anxiety in elective surgery

A mixed-method systematic review of the effectiveness and acceptability of preoperative psychological preparation programmes to reduce paediatric preoperative anxiety in elective surgery 29754399 2018 07 18 1365-2648 2018 May 13 Journal of advanced nursing J Adv Nurs A mixed-method systematic review of the effectiveness and acceptability of preoperative psychological preparation programmes to reduce paediatric preoperative anxiety in elective surgery. 10.1111/jan.13713 To explore

EvidenceUpdates2018

173. Improvement of recovery parameters using patient‐controlled epidural analgesia for video‐assisted thoracoscopic surgery lobectomy in enhanced recovery after surgery: A prospective, randomized single center study

Improvement of recovery parameters using patient‐controlled epidural analgesia for video‐assisted thoracoscopic surgery lobectomy in enhanced recovery after surgery: A prospective, randomized single center study 30054983 2018 11 14 1759-7714 9 9 2018 Sep Thoracic cancer Thorac Cancer Improvement of recovery parameters using patient-controlled epidural analgesia for video-assisted thoracoscopic surgery lobectomy in enhanced recovery after surgery: A prospective, randomized single center

Thoracic cancer2018 Full Text: Link to full Text with Trip Pro

174. Computed tomography‐guided hook wire localization facilitates video‐assisted thoracoscopic surgery of pulmonary ground‐glass nodules

Computed tomography‐guided hook wire localization facilitates video‐assisted thoracoscopic surgery of pulmonary ground‐glass nodules 30047619 2018 11 14 1759-7714 9 9 2018 Sep Thoracic cancer Thorac Cancer Computed tomography-guided hook wire localization facilitates video-assisted thoracoscopic surgery of pulmonary ground-glass nodules. 1145-1150 10.1111/1759-7714.12801 This retrospectively study was conducted to assess the efficiency and safety of computed tomography (CT)-guided hook (...) wire localization of pulmonary ground-glass nodules (GGNs) prior to video-assisted thoracoscopic surgery (VATS). From 2015 to 2018, a total of 86 patients with 86 pulmonary GGNs underwent preoperative CT-guided hook wire localization before VATS. The technical details and clinicopathological findings were analyzed. All 86 pulmonary GGNs (25 pure GGNs and 61 part-solid GGNs) were successfully located and resected. The mean diameter of the GGNs was 1.4 ± 0.4 cm (range 0.6-2.2) and the mean lesion

Thoracic cancer2018 Full Text: Link to full Text with Trip Pro

175. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial.

Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial. OBJECTIVE: To assess the efficacy of arthroscopic subacromial decompression (ASD) by comparing it with diagnostic arthroscopy, a placebo surgical intervention, and with a non-operative alternative, exercise therapy, in a more pragmatic setting. DESIGN: Multicentre, three group, randomised, double blind, sham controlled trial. SETTING: Orthopaedic departments

BMJ2018 Full Text: Link to full Text with Trip Pro

176. Continuation versus discontinuation of antiplatelet therapy for bleeding and ischaemic events in adults undergoing non-cardiac surgery.

Continuation versus discontinuation of antiplatelet therapy for bleeding and ischaemic events in adults undergoing non-cardiac surgery. BACKGROUND: Antiplatelet agents are recommended for people with myocardial infarction and acute coronary syndromes, transient ischaemic attack or stroke, and for those in whom coronary stents have been inserted. People who take antiplatelet agents are at increased risk of adverse events when undergoing non-cardiac surgery because of these indications. However (...) , taking antiplatelet therapy also introduces risk to the person undergoing surgery because the likelihood of bleeding is increased. Discontinuing antiplatelet therapy before surgery might reduce this risk but subsequently it might make thrombotic problems, such as myocardial infarction, more likely. OBJECTIVES: To compare the effects of continuation versus discontinuation for at least five days of antiplatelet therapy on the occurrence of bleeding and ischaemic events in adults undergoing non-cardiac

Cochrane2018

177. Antifibrinolytic therapy for preventing oral bleeding in people on anticoagulants undergoing minor oral surgery or dental extractions.

Antifibrinolytic therapy for preventing oral bleeding in people on anticoagulants undergoing minor oral surgery or dental extractions. BACKGROUND: Individuals on continuous treatment with vitamin K antagonists (VKAs) or direct oral anticoagulants (DOACs) are at increased risk of bleeding complications during and after oral or dental procedures. Anticoagulant treatment is preferably continued at the same dose, since dose reduction or discontinuation of treatment is associated with an increased (...) risk of thromboembolism. The use of haemostatic measures during or after the procedure (or both) could enable continuation of the oral anticoagulant treatment. OBJECTIVES: We aimed to assess the efficacy of antifibrinolytic agents for preventing bleeding complications in people on oral anticoagulants undergoing minor oral surgery or dental extractions. SEARCH METHODS: We searched the Cochrane Cystic Fibrosis and Genetic Disorders Coagulopathies Trials Register, compiled from electronic database

Cochrane2018

178. Systematic re-evaluation of intraoperative motor-evoked potential suppression in scoliosis surgery

Systematic re-evaluation of intraoperative motor-evoked potential suppression in scoliosis surgery 29988605 2018 11 14 2397-1789 13 2018 Scoliosis and spinal disorders Scoliosis Spinal Disord Systematic re-evaluation of intraoperative motor-evoked potential suppression in scoliosis surgery. 12 10.1186/s13013-018-0161-3 Motor- (MEP) and somatosensory-evoked potentials (SSEP) are susceptible to the effects of intraoperative environmental factors. Over a 5-year period, 250 patients with adolescent (...) idiopathic scoliosis (AIS) who underwent corrective surgery with IOM were retrospectively analyzed for MEP suppression (MEPS). Our results show that four distinct groups of MEPS were encountered over the study period. All 12 patients did not sustain any neurological deficits postoperatively. However, comparison of groups 1 and 2 suggests that neither the duration of anesthesia nor speed of surgical or anesthetic intervention were associated with recovery to a level beyond the criteria for MEPS. For group

Scoliosis and spinal disorders2018 Full Text: Link to full Text with Trip Pro

179. Spine Surgery

Spine Surgery Appropriate.Safe.Affordable © 2018 AIM Specialty Health 2063-0718 V.2 Cover Spine Surgery Guidelines Musculoskeletal Program Clinical Appropriateness Guidelines Spine Surgery EFFECTIVE JULY 01, 2018 LAST REVIEWED DECEMBER 12, 2017 Copyright © 2018. AIM Specialty Health. All Rights Reserved. Spine Surgery 2 Table of Contents Description and Application of the Guidelines 4 Cervical Decompression With or Without Fusion 5 Description 5 Definitions 6 Criteria 7 Exclusions 8 Selected (...) and Treatment of Spinal Deformity (including Scoliosis and Kyphosis) 22 Description 22 General Considerations 22 Definitions 23 Criteria 24 Exclusions 26 Copyright © 2018. AIM Specialty Health. All Rights Reserved. Spine Surgery 3 Selected References 26 CPT Codes 27 History 30 Lumbar Laminectomy 31 Description 31 Definitions 31 Criteria 32 Exclusions 32 Selected References 32 CPT Codes 33 History 33 Noninvasive Electrical Bone Growth Stimulation 34 Description 34 Criteria 34 Exclusions 35 CPT/HCPCS Codes 35

AIM Specialty Health2018

180. Enhanced Recovery After Surgery Programs for Laparoscopic Abdominal Surgery: A Systematic Review and Meta-analysis

Enhanced Recovery After Surgery Programs for Laparoscopic Abdominal Surgery: A Systematic Review and Meta-analysis 29750324 2018 05 11 1432-2323 2018 May 10 World journal of surgery World J Surg Enhanced Recovery After Surgery Programs for Laparoscopic Abdominal Surgery: A Systematic Review and Meta-analysis. 10.1007/s00268-018-4656-0 Enhanced recovery after surgery (ERAS) protocols or laparoscopic technique has been applied in various surgical procedures. However, the clinical efficacy (...) of combination of the two methods still remains unclear. Thus, our aim was to assess the role of ERAS protocols in laparoscopic abdominal surgery. We performed a systematic literature search in various databases from January 1990 to October 2017. The results were analyzed according to predefined criteria. In the present meta-analysis, the outcomes of 34 comparative studies (15 randomized controlled studies and 19 non-randomized controlled studies) enrolling 3615 patients (1749 in the ERAS group and 1866

EvidenceUpdates2018