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Preoperative hypertension

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https://read.qxmd.com/read/30878753/metabolic-syndrome-associated-with-increased-rates-of-medical-complications-following-intracranial-tumor-resection
#1
Anna M Nia, Daniel W Branch, Ken Maynard, Thomas Frank, Dmitry Zavlin, Joel T Patterson, Rishi R Lall
BACKGROUND: When diagnosed simultaneously, obesity, diabetes, and hypertension form a medical constellation called metabolic syndrome (MetS). The prevalence of MetS in Western cultures has been on a steady ascent and MetS has been associated with increased postoperative complications in multiple surgical settings. OBJECTIVE: In this study, we evaluate the relationship between MetS and the outcomes of craniotomy for supratentorial brain tumor. METHODS: Cases of craniotomy for supratentorial brain tumors were extracted from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) for the years 2012-2016...
March 13, 2019: World Neurosurgery
https://read.qxmd.com/read/30874388/-effect-of-early-preoperative-mobilization-on-rehabilitation-of-the-elderly-patients-with-hip-fractures-after-operation
#2
Jiaxin Liu, Li Chen, Xin Duan, Zhou Xiang
Objective: To evaluate the effect of early preoperative mobilization on the rehabilitation of the elderly patients with hip fractures after operation. Methods: The clinical data of 16 elderly patients with hip fractures between February 2017 and April 2018 who met the selection criteria was retrospectively analyzed. There were 8 males and 8 females, with an average age of 80.3 years (range, 69-90 years). There were 8 cases of intertrochanteric fracture and 8 cases of femoral neck fracture...
March 1, 2019: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/30871612/risk-factors-of-atrial-fibrillation-occurring-after-radical-surgery-of-esophageal-carcinoma
#3
Jun Tang, Jian-Zhu Zhao, Kai-Ming Ren, Fu-Shuang Zheng, Xi-Wen Wang, Hai-Jun Liu, Jun-Gang Zhao, Ji-Bin Lu
BACKGROUND: Atrial fibrillation (AF) is a common complication after radical surgery of esophageal cancer. The aim of this study was to explore AF risk factors after radical surgery of esophageal carcinoma. METHOD: The data of 335 patients with esophageal cancer who were admitted in our hospital from January 2014 to August 2016 for the first time were retrospectively analyzed. We retrieved the papers in some data banks using the search terms including English and Chinese search terms, and obtained 13 factors which were mentioned in more than 6 papers...
March 14, 2019: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/30864103/retinal-nerve-fiber-layer-thickness-decrease-in-obesity-as-a-marker-of-neurodegeneration
#4
Rita Laiginhas, Marta Guimarães, Pedro Cardoso, Hugo Santos-Sousa, John Preto, Mário Nora, João Chibante, Fernando Falcão-Reis, Manuel Falcão
BACKGROUND: Idiopathic intracranial hypertension (IIH) is a serious condition that is frequently associated with irreversibly vision loss, having a higher incidence among obese women. Our aims were to screen subclinical IIH in obese patients scheduled to bariatric surgery using peripapillary retinal nerve fiber layer (RNFL) thickness and to evaluate if the findings demand the possible need of a preoperative evaluation in this population. METHODS: This study included 111 eyes from 36 obese patients (86% female, body mass index > 35 kg/m2 ) scheduled to bariatric surgery and 20 non-obese (body mass index < 25 kg/m2 ) age-matched controls...
March 12, 2019: Obesity Surgery
https://read.qxmd.com/read/30863438/prior-esophagogastric-devascularization-followed-by-splenectomy-for-liver-cirrhosis-with-portal-hypertension-a-modified-laparoscopic-technique
#5
Lei Zhang, Hong-Ping Luo, Fei-Long Liu, Wan-Guang Zhang
Purpose: This study was conducted to introduce a novel modified surgical technique for laparoscopic splenectomy and esophagogastric devascularization (LSED) and its safety and efficiency. Methods: From June 2016 to November 2017, 86 patients were diagnosed with portal hypertension and serious gastroesophageal varices in our center. Of them, 32 patients underwent LSED and 54 received the modified LSED. Results and outcomes were compared retrospectively. Results: There were no significant differences in preoperative patient characteristics of the two groups...
2019: Gastroenterology Research and Practice
https://read.qxmd.com/read/30855499/preoperative-balloon-pulmonary-angioplasty-enabled-noncardiac-surgery-of-a-patient-with-chronic-thromboembolic-pulmonary-hypertension-cteph-a-case-report
#6
Kenji Watanabe, Nobuko Ito, Takuya Ohata, Taro Kariya, Hiroshi Inui, Yoshitsugu Yamada
RATIONALE: Chronic thromboembolic pulmonary hypertension (CTEPH) is a disease with a poor prognosis, characterized by chronic thromboembolic obstruction of the pulmonary arteries and pulmonary hypertension. Balloon pulmonary angioplasty (BPA) is a newly emergent treatment for CTEPH, which may substitute pulmonary endarterectomy, the standard but more invasive treatment for CTEPH. Here, we report the case of a CTEPH patient who underwent 2 noncardiac surgeries without complications after preoperative intervention of BPA...
March 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30851807/long-term-effectiveness-and-safety-of-trabecular-microbypass-stent-implantation-with-cataract-surgery-in-patients-with-glaucoma-or-ocular-hypertension-five-year-outcomes
#7
Tobias H Neuhann, Dana M Hornbeak, Raphael T Neuhann, Jane Ellen Giamporcaro
PURPOSE: To assess 5-year outcomes after implantation of 1 trabecular microbypass stent during cataract surgery in eyes with open-angle glaucoma (OAG) or ocular hypertension. SETTING: Private ophthalmology clinic (AaM Augenklinik am Marienplatz, Munich, Germany). DESIGN: Prospective nonrandomized consecutive case series. METHODS: One trabecular microbypass stent was implanted after phacoemulsification cataract surgery by one surgeon over 4 years...
March 2019: Journal of Cataract and Refractive Surgery
https://read.qxmd.com/read/30841831/total-anomalous-pulmonary-venous-connection-beyond-the-first-decade-of-life
#8
Sachin Talwar, Yatin Arora, Saurabh Kumar Gupta, Shyam Sunder Kothari, Sivasubramanian Ramakrishnan, Anita Saxena, Shiv Kumar Choudhary
OBJECTIVE: We report our experience with surgery for total anomalous pulmonary venous connection (TAPVC) beyond first decade of life. METHODS: Between January 1987 and July 2017, 98 patients ≥ten years underwent TAPVC repair. Their detailed case-records were analyzed. RESULTS: Mean age was 19.05 (± 12.8; median 18) years. Anatomic subtypes were supracardiac (n = 62), cardiac (n = 20), and mixed (n = 16). An atrial septal defect (ASD) was present in all...
March 2019: World Journal for Pediatric & Congenital Heart Surgery
https://read.qxmd.com/read/30837182/association-between-statin-use-and-perioperative-mortality-after-aortobifemoral-bypass-in-patients-with-aortoiliac-occlusive-disease
#9
Ahmed H Abdelkarim, Hanaa Dakour-Aridi, Merve Gurakar, Besma Nejim, Satinderjit Locham, Mahmoud B Malas
OBJECTIVE: The benefit of statins in reducing perioperative cardiovascular events in patients undergoing suprainguinal bypass is still controversial. The purpose of this study was to evaluate the association between statin use and perioperative mortality in patients undergoing aortobifemoral bypass (ABFB) for aortoiliac occlusive disease. METHODS: We retrospectively analyzed all patients who had ABFB in the American College of Surgeons National Surgical Quality Improvement Program data set from 2011 to 2016...
March 2, 2019: Journal of Vascular Surgery
https://read.qxmd.com/read/30837181/stenting-of-superior-mesenteric-and-celiac-arteries-does-not-increase-complication-rates-after-fenestrated-branched-endovascular-aneurysm-repair
#10
Fernando Motta, Jason R Crowner, Corey A Kalbaugh, Martyn Knowles, Luigi Pascarella, Katharine L McGinigle, Mark A Farber
OBJECTIVE: This study compared complications in patients undergoing fenestrated-branched endovascular aneurysm repair (F-BEVAR) without and with stenting of the superior mesenteric artery (SMA) or celiac artery (CA), with particular attention to the length of coverage above the CA. METHODS: A retrospective review was performed of a prospectively maintained database of patients treated with F-BEVAR for thoracoabdominal aortic aneurysms between July 2012 and May 2017...
March 2, 2019: Journal of Vascular Surgery
https://read.qxmd.com/read/30837178/assessment-of-long-term-survival-and-stroke-after-carotid-endarterectomy-and-carotid-stenting-in-patients-older-than-80-years
#11
Daniela Mazzaccaro, Alfredo Modafferi, Giovanni Malacrida, Giovanni Nano
OBJECTIVE: The objective of this study was to analyze preoperative risk factors affecting long-term survival and the occurrence of stroke in patients older than 80 years undergoing either carotid endarterectomy (CEA) or carotid artery stenting (CAS) for carotid stenosis. METHODS: Data of all consecutive patients treated from January 1999 to December 2017 were retrospectively reviewed and outcomes analyzed. Kaplan-Meier analysis was used to estimate long-term survival and the risk of stroke for both groups...
March 2, 2019: Journal of Vascular Surgery
https://read.qxmd.com/read/30820792/original-study-transjugular-intrahepatic-portosystemic-shunt-as-a-bridge-to-abdominal-surgery-in-cirrhotic-patients
#12
N Tabchouri, L Barbier, B Menahem, J-M Perarnau, F Muscari, N Fares, L D'Alteroche, P-J Valette, J Dumortier, A Alves, J Lubrano, C Bureau, Ephrem Salamé
BACKGROUND: Transjugular intrahepatic portosystemic shunt (TIPS) has been suggested to reduce portal hypertension-associated complications in cirrhotic patients undergoing abdominal surgery. The aim of this study was to compare postoperative outcome in cirrhotic patients with and without specific preoperative TIPS placement, following elective extrahepatic abdominal surgery. METHODS: Patients were retrospectively included from 2005 to 2016 in four centers. Patients who underwent preoperative TIPS (n = 66) were compared to cirrhotic control patients without TIPS (n = 68)...
February 28, 2019: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://read.qxmd.com/read/30814749/predicting-packed-red-blood-cell-transfusion-in-living-donor-liver-transplantation-a-retrospective-analysis
#13
Shweta A Singh, Kelika Prakash, Sandeep Sharma, An Anil, Viniyendra Pamecha, Guresh Kumar, Ajeet Bhadoria
Background and Aims: Blood transfusion is unpredictable in liver transplantation and is associated with increased patient morbidity, mortality and cost. This retrospective analysis was conducted to detect factors which could predict intraoperative transfusion of more than four units of packed red blood cells (PRBCs) during elective living donor liver transplantation (LDLT). Methods: This was a single-centre retrospective study. Demographic, clinical and intraoperative data of 258 adult patients who underwent LDLT from March 2009 to January 2015 were analysed...
February 2019: Indian Journal of Anaesthesia
https://read.qxmd.com/read/30810749/clinical-outcomes-after-unilateral-adrenalectomy-for-primary-aldosteronism
#14
Wessel M C M Vorselaars, Sjoerd Nell, Emily L Postma, Rasa Zarnegar, F Thurston Drake, Quan-Yang Duh, Stephanie D Talutis, David B McAneny, Catherine McManus, James A Lee, Scott B Grant, Raymon H Grogan, Minerva A Romero Arenas, Nancy D Perrier, Benjamin J Peipert, Michael N Mongelli, Tanya Castelino, Elliot J Mitmaker, David N Parente, Jesse D Pasternak, Anton F Engelsman, Mark Sywak, Gerardo D'Amato, Marco Raffaelli, Valerie Schuermans, Nicole D Bouvy, Hasan H Eker, H Jaap Bonjer, N M Vaarzon Morel, Els J M Nieveen van Dijkum, Otis M Vrielink, Schelto Kruijff, Wilko Spiering, Inne H M Borel Rinkes, Gerlof D Valk, Menno R Vriens
Importance: In addition to biochemical cure, clinical benefits after surgery for primary aldosteronism depend on the magnitude of decrease in blood pressure (BP) and use of antihypertensive medications with a subsequent decreased risk of cardiovascular and/or cerebrovascular morbidity and drug-induced adverse effects. Objective: To evaluate the change in BP and use of antihypertensive medications within an international cohort of patients who recently underwent surgery for primary aldosteronism...
February 27, 2019: JAMA Surgery
https://read.qxmd.com/read/30809487/evaluation-of-the-safety-and-quality-of-day-case-cataract-surgery-based-on-4151-cases
#15
Min Zhuang, Wen Fan, Ping Xie, Song-Tao Yuan, Qing-Huai Liu, Chen Zhao
AIM: To evaluate the safety, quality and prospects of day-case cataract surgery performed in a Jiangsu public tertiary hospital. METHODS: The general and clinical data for patients who underwent day-case cataract surgery between August 1, 2014 and December 31, 2016 at this hospital were collected. The incidences of intraoperative and postoperative complications, preoperative and postoperative best-corrected visual acuities (BCVAs), delayed discharge rate, rate of unplanned re-admission to hospital, and patient satisfaction were analyzed...
2019: International Journal of Ophthalmology
https://read.qxmd.com/read/30807408/utility-of-preoperative-laboratory-testing-in-women-undergoing-suburethral-sling
#16
Lopa K Pandya, Eric M McLaughlin, Catherine O Hudson, Silpa Nekkanti, Pamela E Smith, Erinn M Hade, Andrew F Hundley
OBJECTIVE: The aim of the study was to examine current patterns and factors associated with preoperative testing in patients undergoing midurethral sling and to compare 30-day outcomes in subjects. METHODS: This retrospective cohort study was performed using the National Surgery Quality Improvement Program database from 2005 to 2014. All women undergoing midurethral slings were identified by Current Procedural Terminology code. Clinical variables were abstracted and the incidence of preoperative serum labs was determined...
March 2019: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/30805286/predictive-factors-and-rates-of-fusion-in-minimally-invasive-transforaminal-lumbar-interbody-fusion-utilizing-rhbmp-2-or-mesenchymal-stem-cells
#17
Samuel C Overley, Steven J McAnany, Muhammad A Anwar, Robert K Merrill, Andrew Lovy, Javier Z Guzman, Sergey Zhadanov, Amish Doshi, Edward Rothenberg, Avani Vaishnav, Catherine Gang, Sheeraz A Qureshi
Background: Several fusion adjuncts exist to enhance fusion rates during minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). The objective of this study was to compare fusion rates in patients undergoing MI-TLIF with either rhBMP-2 or cellularized bone matrix (CBM). Methods: We conducted a single surgeon retrospective cohort study of patients who underwent MI-TLIF with either rhBMP-2 or CBM placed in an interbody cage. Single and multilevel procedures were included...
January 2019: International Journal of Spine Surgery
https://read.qxmd.com/read/30803146/surgical-and-anesthetic-management-for-hepatectomy-in-two-pediatric-patients-with-trisomy-18-pulmonary-hypertension-and-hepatoblastoma
#18
Donald J Lucas, Jeremy Rubinstein, Ankush Gosain, Greg Tiao, Tim Head, J Nick Pratap, Regan Williams, Sara Helmig, James Geller, Max Langham, Angela Trobaugh-Lotrario
Children with trisomy 18 are surviving longer and undergoing more aggressive life-sustaining therapy. This report describes two patients with trisomy 18 and hepatoblastoma (HB) successfully resected in the setting of significant pulmonary hypertension. Forty-four previously published cases of the association between HB and trisomy 18 are reviewed. With careful multidisciplinary preoperative planning, successful resection of HB in children with trisomy 18 who have significant pulmonary hypertension is feasible...
February 25, 2019: Pediatric Blood & Cancer
https://read.qxmd.com/read/30802199/preoperative-statin-treatment-is-not-associated-with-reduced-postoperative-mortality-or-morbidity-in-patients-undergoing-isolated-valve-surgery
#19
Michel Durand, Caroline Machuron, Laura Guillet, Pierre-Henri Moury, Cécile Martin, Jean-François Payen, Olivier Chavanon, Pierre Albaladejo
INTRODUCTION: Previous studies have shown that statin use before coronary surgery decreases the mortality and morbidity. This benefit was not clearly detected in isolated valve surgery. The aim of this study was to assess the effect of preoperative statin therapy on postoperative complications and mortality in a large group of patients undergoing valve surgery. PATIENTS, MATERIALS, AND METHODS: The data of consecutive patients undergoing isolated valve replacement during an 8-year period were retrospectively reviewed from a prospective database...
February 21, 2019: Heart Surgery Forum
https://read.qxmd.com/read/30799640/clostridium-difficile-colitis-in-patients-undergoing-surgery-for-hip-fractures-an-analysis-of-17-474-patients
#20
Azeem Tariq Malik, Carmen E Quatman, Laura S Phieffer, Thuan V Ly, Safdar N Khan
BACKGROUND: We compiled evidence from a large national surgical database to identify the incidence, risk factors and postoperative impact of Clostridium difficile infection (CDI) in patients undergoing hip fracture repair. METHODS: We identified 17,474 patients who underwent hip fracture repairs in 2015 using the ACS-NSQIP database. Interventions studied were open reduction/Internal fixation, total hip arthroplasty or hemiarthroplasty being performed for traumatic hip fractures...
February 25, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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