Relevant bibliographies by topics / Surgery, Operative Surgery, Operative Suturing

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Surgery, Operative Surgery, Operative Suturing'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Surgery, Operative Surgery, Operative Suturing"

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Wasay, Hafiz Ali, Muhammad Aamir Jameel, Muhammad Imran Anwar, HaroonJavaid Majid, and Sameen Tahir. "Comparative effects of suture and non-suture surgical techniques on platysma after Thyroid surgery." Pakistan Journal of Medical and Health Sciences 15, no. 7 (July 26, 2021): 1661–64. http://dx.doi.org/10.53350/pjmhs211571661.

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Background: Thyroidectomy is a routine general surgical procedure and pain after thyroidectomy is responsible for prolongation of hospital stay and increased risk of respiratory complications. Platysma is routinely sutured at the end of thyroidectomy before wound closure. This randomized controlled trial was conducted to compare the outcome of suturing platysma muscle versus not suturing in thyroid surgery patients. Aim: To compare the outcome of suturing platysma muscle versus not suturing in thyroid surgery patients. Place and duration of study: Dept. of Surgery at Sh. Zayed Hospital, Lahore from 26-12-2019 to 25-06-2020. Methodology: It is a randomized controlled trial study which consists of 92 patients, between 18 to 70 years of age in both gender and planned for thyroidectomy for nodular thyroid enlargement. Patients were randomly allocated into two treatment groups. After excision of thyroid, platysma was sutured as per conventional practice in one group while in the other group platysma was not sutured. For pain assessment Visual Analogue Scale (VAS) was used to 24 hours after surgery. Results: The mean age was 36.4±13.4 years. The mean VAS score for post-operative pain measured 24 hours after the surgery was significantly lower in patients undergoing thyroidectomy without platysmal suture as compared to those with conventional suturing of platysma during thyroidectomy (2.37±0.97 vs. 3.67±1.28; p <0.001). Similar significant difference was also noted between groups and subgroups which based on patient’s age, gender, BMI and educational status. Conclusion: Avoiding the suturing of platysma significantly reduced the post-operative pain which advocates a change in current practice and encourages non-suturing of platysma to decrease the morbidity of patients in post-operative period. Keywords: Thyroidectomy, Platysma, Suture, No Suture, Pain
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Bilgic, Elif, Madoka Takao, Pepa Kaneva, Satoshi Endo, Toshitatsu Takao, Yusuke Watanabe, Katherine M. McKendy, Liane S. Feldman, and Melina C. Vassiliou. "Development of a Model for the Acquisition and Assessment of Advanced Laparoscopic Suturing Skills Using an Automated Device." Surgical Innovation 25, no. 3 (March 20, 2018): 286–90. http://dx.doi.org/10.1177/1553350618764221.

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Background. Needs assessment identified a gap regarding laparoscopic suturing skills targeted in simulation. This study collected validity evidence for an advanced laparoscopic suturing task using an Endo StitchTM device. Methods. Experienced (ES) and novice surgeons (NS) performed continuous suturing after watching an instructional video. Scores were based on time and accuracy, and Global Operative Assessment of Laparoscopic Surgery. Data are shown as medians [25th-75th percentiles] (ES vs NS). Interrater reliability was calculated using intraclass correlation coefficients (confidence interval). Results. Seventeen participants were enrolled. Experienced surgeons had significantly greater task (980 [964-999] vs 666 [391-711], P = .0035) and Global Operative Assessment of Laparoscopic Surgery scores (25 [24-25] vs 14 [12-17], P = .0029). Interrater reliability for time and accuracy were 1.0 and 0.9 (0.74-0.96), respectively. All experienced surgeons agreed that the task was relevant to practice. Conclusion. This study provides validity evidence for the task as a measure of laparoscopic suturing skill using an automated suturing device. It could help trainees acquire the skills they need to better prepare for clinical learning.
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Limbo, B., and HC Jha. "Intraoperative Complications of High Volume Sutureless Cataract Surgery in Nepal: A Prospective Study." Kathmandu University Medical Journal 12, no. 3 (October 19, 2015): 194–97. http://dx.doi.org/10.3126/kumj.v12i3.13717.

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BackgroundWith high backlog of cataract blindness in the developing countries sutureless high volume cataract surgery is preferred surgical technique.ObjectiveTo report the intraoperative complications of high volume sutureless cataract surgery at secondary level eye care centre of Nepal.MethodThis prospective study consisting 1087 eyes that underwent manual small incision cataract surgery from 2nd to 28th December 2007 at Shree Janaki Eye Hospital, Janakpur, Nepal and operated by a single eye surgeon. Preoperative and postoperative ocular findings together with intraoperative complications were carefully noted in every individual case. At post operative day one each patient was examined including uncorrected visual acuity and post operative complications which were subsequently recorded in Performa. Data were analysed using SPSS 11.5.ResultSixty-three eyes (5.8%) of 1087 eyes developed intraoperative complications. Out of 63 eyes that had intra operative complications, posterior capsular rupture were seen in 42 (3.9%), sclera corneal tunnel suturing in 12 eyes (1.1%), iridodialysis 5 eyes (0.5%) and Descemet stripping in 4 eyes (0.4%). 62.1% of patients attained uncorrected visual acuity 6/18 or better and in 91.7% of eyes, there were no post operative complications.ConclusionHigh volume suture less cataract surgery is safe surgery and should be continue in developing countries to achieve the goal of vision 2020, where there is huge backlog of cataract blindness.Kathmandu University Medical Journal Vol.12(3) 2014; 194-197
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Pogorelić, Zenon, Dario Huskić, Tin Čohadžić, Miro Jukić, and Tomislav Šušnjar. "Learning Curve for Laparoscopic Repair of Pediatric Inguinal Hernia Using Percutaneous Internal Ring Suturing." Children 8, no. 4 (April 11, 2021): 294. http://dx.doi.org/10.3390/children8040294.

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Background: Percutaneous internal ring suturing (PIRS) is a simple and popular technique for the treatment of inguinal hernia in children. The aim of this study was to analyze the learning curves during implementation of PIRS in our department. Methods: A total of 318 pediatric patients underwent hernia repair using the PIRS technique by three pediatric surgeons with different levels of experience in laparoscopic surgery. These patients were enrolled in a prospective cohort study during the period October 2015–January 2021. Surgical times, intraoperative and postoperative complications, in addition to outcomes of treatment were compared among the pediatric surgeons. Results: Regarding operative time a significant difference among the surgeons was found. Operative time significantly decreased after 25–30 procedures per surgeon. The surgeon with advanced experience in laparoscopic surgery had significantly less operative times for both unilateral (12 (interquartile range, IQR 10.5, 16.5) min vs. 21 (IQR 16.5, 28) min and 25 (IQR 21.5, 30) min; p = 0.002) and bilateral (19 (IQR 14, 21) min vs. 28 (IQR 25, 33) min and 31 (IQR 24, 36) min; p = 0.0001) hernia repair, compared to the other two surgeons. Perioperative complications, conversion, and ipsilateral recurrence rates were higher at the beginning, reaching the benchmarks when each surgeon performed at least 30 PIRS procedures. The most experienced surgeon had the lowest number of complications (1.4%) and needed a fewer number of cases to reach the plateau. The other two surgeons with less experience in laparoscopic surgery had higher rates of complications (4.4% and 5.4%) and needed a higher number of cases to reach the plateau (p = 0.190). Conclusions: A PIRS learning curve for perioperative and postoperative complications, recurrences, and conversion rates reached the plateau after each surgeon had performed at least 30 cases. After that number of cases PIRS is a safe and effective approach for pediatric hernia repair. A surgeon with an advanced level of experience in pediatric laparoscopic surgery adopted the technique more easily and had a significantly faster learning curve.
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Lebret, Clément, Elsa Garot, Mélodie Amorim Pereira, Jean-Christophe Fricain, Sylvain Catros, and Mathilde Fénelon. "Perioperative outcomes of frenectomy using laser versus conventional surgery: a systematic review." Journal of Oral Medicine and Oral Surgery 27, no. 3 (2021): 36. http://dx.doi.org/10.1051/mbcb/2021010.

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Introduction: Frenectomy is an oral surgical procedure usually performed with a scalpel. Several authors recently reported the interest of laser, as a minimally invasive and efficient alternative tool to perform frenectomy. This study aimed to compare the perioperative management of patients requiring a frenectomy using scalpel versus laser. Materials and methods: A systematic review of the literature has been carried out from Pubmed and Scopus databases following PRISMA guidelines. PICO method was used to select the relevant articles. Clinical studies comparing the perioperative outcomes of patients requiring frenectomies using scalpel versus laser were included. Results: Ten articles involving 375 patients were included. Pre-operative parameter (anxiety before surgery) and per-operative data such as anesthesia, surgery duration, bleeding, suture and difficulty were assessed. The post-operative outcomes investigated were pain, analgesics use, functional discomfort, edema, healing and satisfaction of patients. Laser achieved satisfactory peri-operative outcomes such as shorter operative time, without suturing requirement, as well as less post-operative pain and functional discomfort. Discussion: The low number of eligible studies, the different type of lasers used and heterogeneity across the methodology of the selected studies were the limits of the study. Conclusion: Laser-assisted surgery became an attractive tool to perform oral soft tissue surgery.
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Potaris, Konstantinos, Emmanouil Kapetanakis, Konstantinos Papamichail, Elena Midvighi, Alexis Verveniotis, Fotios Parissis, Demetrios Apostolou, et al. "Major Lung Resections Using Manual Suturing Versus Staplers During Fiscal Crisis." International Surgery 102, no. 5-6 (May 1, 2017): 198–204. http://dx.doi.org/10.9738/intsurg-d-15-00116.1.

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During fiscal crisis there was a period of shortage of staplers in our hospital, which drove us to manual suturing of bronchi and pulmonary vessels during major lung resections. We present our experience during that period in comparison to a subsequent period when staplers became available again. A total of 256 lobectomies and 78 pneumonectomies using manual suturing (group A) were performed between September 2009 and September 2010, and were compared regarding surgical outcome with 248 lobectomies and 60 pneumonectomies using staplers (group B), performed between September 2011 and September 2012. Although we did not observe statistically significant differences but only a trend toward shorter operative time, for both lobectomies (P = 0.21) and pneumonectomies (P = 0.31) we actually noted savings of 41 and 47 minutes, respectively, in operative time using staplers (group B), in comparison with manual suturing (group A). We also observed a trend toward lower morbidity rates in group B patients who underwent lobectomy (10.48%) and pneumonectomy (20%) versus group A patients who underwent lobectomy (15.62%) and pneumonectomy (30.76%); we did not observe any substantial differences in the other surgical outcome variables, in patients' demographic, comorbidities, or in anatomic allocation of surgical procedures performed. The use of staplers offers safety with secure bronchial or vascular sealing, as well as reduction of operative time. Their unavailability at an interval during fiscal crisis, although it did not affect surgical outcome, revealed their usefulness and value.
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Samartsev, Vladimir, Alex Kuchumov, and Vasiliy Gavrilov. "Sutures in abdominal surgery: biomechanical study and clinical application." Open Medicine 9, no. 6 (December 1, 2014): 849–59. http://dx.doi.org/10.2478/s11536-013-0334-7.

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AbstractThe aim of this study is to improve treatment results and SSI prevention by differential usage of the contemporary suture materials and choice of proper suturing technique. To simulate suturing process and compared two suturing techniques, two FE models were developed. Finite-element analysis (FEA) was based on experimental data of contemporary commercial sutures and soft tissue properties. We applied obtained results for abdominal wall closure in rats and compared non-absorbable suture (capron) with absorbable suture (PDS Plus) for chosen technique. Cross-sections were examined by lighting electron microscope. Afterwards, the results of patients’ treatment are also presented. It was shown that running sew was more appropriate for aponeurosis suturing compared to interrupted sew. The optimal parameters of suturing techniques were computed. Single-row running sew by PDS Plus was proved to hold wound edges for 90 days with less inflammatory response compared to other suture in the result of histological analysis. Application of contemporary synthetic absorbable suture materials with antibacterial coating for laparotomic wounds closure and anastomosis decreases local inflammatory reaction and provides the successful tissue regeneration. Application of advanced SSI prophylactics algorithm was shown to decrease risk of post-operative suppurative complications from 14.2 to 1.6 %.
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S, Prakash N., Shreyas K, Puneeth P. J, Nishtha Sharma, and Veena Prabhakaran. "A Comparative Study of the Effects of Anterior Nasal Packing versus Trans-Septal Suturing in Post-Septoplasty Patients." Bengal Journal of Otolaryngology and Head Neck Surgery 28, no. 2 (August 31, 2020): 103–11. http://dx.doi.org/10.47210/bjohns.2020.v28i2.323.

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Introduction Following septoplasty, the usual norm is to pack the nose using polyvinyl alcohol or white petroleum jelly impregnated gauze. But due to side effects like pain, respiratory problems, headache or pain during pack removal, trans-septal suturing is recommended as it provides stability and prevents septal hematoma formation without causing the above mentioned complaints. This study aims to conduct an in-depth comparison of the outcomes of the two aforementioned methods in an Indian population.Materials and Methods A prospective randomized comparative study was done for 30 patients between 18-50 years undergoing septoplasty, while excluding those requiring additional surgical interventions. Trans-septal suturing was done for 15 patients and polyvinyl alcohol nasal packing for the rest. Visual Analogue Scale was used to record discomfort levels 1 day post-operatively. A vast multitude of symptoms were assessed during regular visits for 3 months after surgery. Results Post-operatively, nasal pain, headache, dyspnoea, sleep disturbance, post-nasal drip, crusting, and epiphora were found to be reduced in patients who underwent trans-septal suturing when compared with packing, deeming it to be a superior choice of method. However, nasal bleeding was comparable in both groups. Conclusion Trans-septal suturing reduces pack related problems and post-operative complications, without significantly increasing the duration of surgery. Hence, we recommend the practice of placing sutures to positively improve patients’ quality of life post-surgery.
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Waldron, DR, and J. Robertson. "Partial splenectomy in the dog: a comparison of stapling and ligation techniques." Journal of the American Animal Hospital Association 31, no. 4 (July 1, 1995): 343–48. http://dx.doi.org/10.5326/15473317-31-4-343.

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Partial splenectomy was performed in 17 adult dogs by using either surgical stapling instrumentation or conventional suturing techniques. Blood loss was minimal as determined by clinical observation and comparison of packed cell volumes and total protein levels before and after surgery. Surgical stapling instrumentation or suturing techniques may be used safely for partial splenectomy in the dog; however, the stapling technique significantly decreases operative time.
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Wali, Fariha S., Muhammad Jawed, Rafeen Talpur, Naeemullah Shaikh, Shehnilla Shujaat, and Khalid I. Talpur. "Pterygium excision with suture-less and glue-free conjunctival autograft." Asian Journal of Ophthalmology 17, no. 2 (April 30, 2020): 227–32. http://dx.doi.org/10.35119/asjoo.v17i2.579.

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Introduction: Pterygium excision is a commonly encountered surgery with different methods being used. These procedures range from simple excision to use of grafts. Limbal conjunctival autograft is currently the most popular surgical procedure. The most common method of autograft fixation is suturing. But it has its own drawbacks like increased operating time, post-operative discomfort, inflammation, buttonholes, necrosis, giant papillary conjunctivitis, scarring, and granuloma formation. Glue is widely used due to many advantages like easy fixation of the graft, shorter operation time, and reduction in complications and post-operative discomfort but at the same time has some disadvantages also like high cost, the risk of transmission of infectionsand inactivation by iodine preparations. Purpose: In the following study, we describe a simple method of accomplishing conjunctival autograft adherence during pterygium surgery avoiding possible complications associated with the use of fibrin glue or sutures. Design: Prospective study. Method: We used conjunctival autograft, which was not sutured or glued to the scleral bed. The fibrin formed from the oozing blood was used to get the graft adhesion to the scleral bed. This study was approved by institutional review board, and written consent form was taken from each participant. Results: The suture-less and glue-free conjunctival autograft was found to have excellent results in terms of surgical outcome as well as post-operative recovery. In addition, risk of side effects related to sutures and glue was eliminated. Conclusion: Suture-less and glue-free conjunctival autograft is a new, easy, and cheaper technique for the management of pterygium.
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Dissertations / Theses on the topic "Surgery, Operative Surgery, Operative Suturing"

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Sylaidis, Peter. "Multi media applications in medical education : evaluation of an interactive CD-ROM on practical skin wound management for medical undergraduate learning /." Title page, contents and summary only, 1999. http://web4.library.adelaide.edu.au/theses/09MS/09mss984.pdf.

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Lindblad, Alex J. "Increasing the functionality of finite element based surgical suturing simulators /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/10127.

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Lou, Meei-Fang. "Cognitive disturbance among elderly Taiwanese patients after elective surgery /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/7360.

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Nassif, Mohammed. "Early post operative findings in retroperitoneal sarcoma surgery." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121244.

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INTRODUCTION: Retroperitoneal sarcomas (RPS) are large in size and often involve adjacent organs or vital structures. Completeness of resection is critical for long-term survival. However, this often involves extensive operations. OBJECTIVE: The objective of this study was to determine the incidence of early postoperative complications after RPS surgery and identify their predictors. Return to the operating room (OR) and all-cause mortality within 30 days were also examined. METHODS: Administrative claims from the universal health insurance program that covers all residents in the province of Quebec (Canada) were used to identify patients who underwent surgery for retroperitoneal sarcoma. ICD9 and standardized billing codes were utilized. Using multivariate logistic regression analysis the association between patient characteristics and intraoperative variables with severe postoperative complications (Clavien grade ≥ 3 within 30 days) was assessed. RESULTS: 233 patients were included (median age 57). 33% had no comorbidities and 38% had a Charlson comorbidity index (CCI) ≥ 3. Overall, 34% of patients had ≥ 1 adjacent organs resected at surgery and 7% had > 3 organs removed. Early severe postoperative complications occurred in 33% of patients and there were 7 deaths (3%). In comparison to patients who had a CCI of 0, those with a score of ≥ 3 were more likely to have postoperative complications, (OR 2.58, CI 1.05-6.36). Patients who avoided elective post operative admission to the intensive care unit (ICU) within 24 hours of surgery had fewer complications postoperatively, (OR 0.07, CI 0.02-0.25). Male patients had a higher risk as well, (OR 2.4, CI 1.05-5.48). On the other hand, multiple organ resection during surgery and patients' age had no impact on the occurrence of severe complications. CONCLUSION: This study showed that patients' age and extent of surgical resection had no impact on the occurrence of postoperative complications after RPS surgery. While CCI patients sex and early ICU admission did. This suggests that age and extent of resection should not be used as a sole determinant of patient's eligibility for curative surgery in RPS.
INTRODUCTION: Les sarcomes rétropéritonéaux (SRP) sont de taille importante et impliquent souvent des organes adjacents ou des structures vitales. La résection est critique pour la survie à long terme mais il, s'agit souvent de vastes opérations. OBJECTIF: Le but de cette étude était est-de déterminer l'incidence des complications postopératoires précoces après la chirurgie SRP et d'identifier leurs facteurs prédictifs. Le retour à la salle d'opération (SO) et mortalité de toutes les causes dans les 30 postopératoires ont également été examinés. MÉTHODES: Les réclamations administratives du programme d'assurance-santé universel qui couvrent presque tous les résidents du Québec (Canada) ont été utilisées pour identifier les patients qui sont eu une chirurgie pour une sarcome rétropéritonéal. Le ICD9 et les codes manuelles de facturation standardisé ont été utilisés. L'analyse multivarié par régression logistique de l'association entre les caractéristiques des patients et les variables peropératoires souffrant de graves complications post-opératoires (Clavien ≥ grade 3 dans les 30 jours) a été évaluée. RÉSULTATS: 233 patients ont été inclus (âge médian 57). 33% n'avaient pas de comorbidités et 38% avaient un indice de comorbidité de Charlson (ICC) ≥ 3. Dans l'ensemble, 34% des patients avaient ≥ 1 des organes adjacents réséqués pendant la chirurgie et 7% avaient > 3 subit une ablation d'organes. Les premières complications postopératoires se sont produits chez 33% des patients et il y a eu 7 décès (3%). La comparaison avec les patients qui avaient un CCI de 0, suggère que ceux qui ont un score ≥ 3 étaient plus susceptibles d'avoir des complications post-opératoires, (OR 2,58, IC 1,05 à 6,36). Les patients qui ont évité une admission post-opératoire élective à l'unité de soins intensifs (USI) dans les 24 heures suivant l'intervention ont eu moins de complications post-opératoires, (OR 0,07, IC 0,02 à 0,25). En plus le sexe masculin présente un facteur de risque plus élevé, (OR 2,4, IC 1,05 à 5,48). Finalement, la résection multiviscérale pendant la chirurgie et l'âge des patients ont n'a pas eu d'effet sur la survenue de complications graves. CONCLUSION: Cette thèse a montré que l'âge des patients et l'étendue de la résection chirurgicale ont n'a pas d'incidence sur la survenue de complications postopératoires après une chirurgie SRP. Ceci suggère que l'âge et l'étendue de la résection ne dovent pas être utiliser comme seul déterminant de l'admissibilité des patients pour une chirurgie curative dans SRP.
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Chow, Yuen-yi, and 周婉儀. "Pre-operative music intervention to reduce patients' pre-operative anxiety in acute care setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623021.

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Hunt, Judith Mary. "The pathophysiology of equine post-operative ileus." Thesis, Royal Veterinary College (University of London), 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309273.

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Otto, Stephanus Daniel. "Chewing gum therapy in third molar surgery." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4769_1222844033.

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The aim of this study was to determine how effective a chewing gum regime is in treating the common minor complaints of third molar surgery. The efficacy of a six-day chewing gum regimen in reducing pain, swelling and trismus after third molar surgery was compared to no chewing gum therapy. Third molar surgery is an important part of any maxillofacial surgery practice. There is an ongoing quest to find new and innovative methods to treat the minor complaints of this procedure.

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Steen, Alexander, and Marcus Widegren. "3D Visualization for Pre-operative Planning of Orthopedic Surgery." Thesis, Linköpings universitet, Medie- och Informationsteknik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-94556.

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This report presents a master thesis on 3D visualization for pre-operation planning of orthopedic surgery done for Sectra Medical Systems AB. The focus is on visualizing clinically relevant data for planning a Total Hip Replacement (THR). The thesis includes a pre-study and the implementation of a prototype using the Sectra IDS7 workstation.
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Haggart, Paul C. "Myocardial injury in abdominal aortic surgery." Thesis, University of Aberdeen, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288261.

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Background:  Peri-operative myocardial infarction (PMI) may be under- and/or mis-diagnosed because WHO criteria are often not met and creatinine kinase (CK/CK-MB) ratios can be difficult to interpret.  Cardiac troponin (cTn) I is the most sensitive and specific marker of myocardial cell necrosis but is not yet widely available. Aims: 1.  To examine the use of pre-operative risk indices, including ASA score, POSSUM score and Goldman’s cardiac risk index and compare these with peri-operative cTnI rise. 2.  To compare cTnI levels with CK/CK-MB levels peri-operatively in the diagnosis of MI. 3.  To explore the role of the fibrinolytic system in patients undergoing emergency surgery for ruptured aneurysm and relate this to cTnI levels. 4.  To examine the use of the polymerase chain reaction (PCR) in the identification of bacteraemia and to relate this to systemic endotoxin levels and septic episodes. Methods:  Prospective observational study of 67 patients undergoing aortic surgery (29 elective AAA, 31 emergency AAA, 7 aorto-occlusive).  cTnI and endotoxin were measured pre-operatively and at 6, 24, 48, 72 and 96 hours post­operatively.  Blood for PCR was also collected at these time points.  CK and CK-­MB were measured where cTnI was detectable.  Fibrinolytic markers were measured up to 24 hours post operatively.  Clinical, septic, ECG and cardiac events were prospectively documented. Results:  ASA score was correlated with perioperative cTnI rise.  Over 50% of patients undergoing emergency, and more than a quarter undergoing elective, aortic surgery will suffer myocardial injury as determined by cTnI rise.  This is accompanied by CK/ CK-MB ratio in less than a fifth of cases.  eTnI rise is associated with inhibition of fibrinolysis with emergency AAA repair.  No relationships were observed with the presence of bacterial DNA, endotoxin response and sepsis.
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Cairncross, Lydia Leone. "Pre-operative diagnosis of thyroid cancer : clinical, radiological and pathological correlation." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/10230.

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Primary Aim: assess the accuracy of pre operative diagnosis of thyroid cancer in a single centre. Secondary Aims: evaluate the impact of preoperative diagnosis on surgical interventions for thyroid carcinoma; develop locally applicable guidelines for patients with nodular disease of the thyroid.
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Books on the topic "Surgery, Operative Surgery, Operative Suturing"

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Khatri, Vijay P. Operative surgery manual. Philadelphia: Saunders, 2003.

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Operative surgery revision. 4th ed. London: H. K. Lewis, 1987.

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Copeland, Stephen. Operative shoulder surgery. Edinburgh: Churchill Livingstone, 1995.

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Spray, Thomas L., and Michael A. Acker, eds. Operative Cardiac Surgery. Sixth edition. | Boca Raton : CRC Press, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/9781351175975.

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Davenport, Mark, James D. Geiger, Nigel J. Hall, and Steven S. Rothenberg, eds. Operative Pediatric Surgery. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801.

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Khatri, Vijay P. Operative surgery manual. Philadelphia: Saunders, 2003.

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Johnson, Donald. Operative arthroscopy. 4th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013.

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B, Stromme William, Zuspan Frederick P. 1922-, and Quilligan Edward J. 1925-, eds. Operative obstetrics. 5th ed. Norwalk, Conn: Appleton & Lange, 1988.

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Rob, Charles. Rob & Smith's operative surgery. 4th ed. London: Butterworth, 1989.

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R, Doty John, ed. Cardiac surgery: Operative technique. 2nd ed. Maryland Heights, MO: Elsevier/Saunders, 2012.

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Book chapters on the topic "Surgery, Operative Surgery, Operative Suturing"

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Scott-Conner, Carol E. H., and Jameson L. Chassin. "Dissecting and Suturing." In Chassin's Operative Strategy in General Surgery, 27–37. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-1393-6_4.

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Scott-Conner, Carol E. H. "Dissecting and Suturing." In Chassin’s Operative Strategy in General Surgery, 26–37. New York, NY: Springer New York, 2002. http://dx.doi.org/10.1007/978-0-387-22532-6_4.

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Galletti, G. "From Conventional Suturing to Sutureless Anastomoses in General Surgery." In Fibrin Sealant in Operative Medicine, 165–72. Berlin, Heidelberg: Springer Berlin Heidelberg, 1986. http://dx.doi.org/10.1007/978-3-642-95513-6_21.

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Bricout, Nathalie. "Operative technique." In Breast surgery, 211–14. Paris: Springer Paris, 1996. http://dx.doi.org/10.1007/978-2-8178-0926-7_19.

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Bricout, Nathalie. "Operative technique." In Breast surgery, 383–88. Paris: Springer Paris, 1996. http://dx.doi.org/10.1007/978-2-8178-0926-7_35.

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Bouhanna, Pierre, and Jean-Claude Dardour. "Operative Indications." In Hair Replacement Surgery, 189–235. Berlin, Heidelberg: Springer Berlin Heidelberg, 1996. http://dx.doi.org/10.1007/978-3-642-79612-8_13.

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Dewberry, Lindel C. K., and Thomas H. Inge. "Bariatric surgery." In Operative Pediatric Surgery, 291–99. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-33.

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Partridge, Emily A., and Alan W. Flake. "Fetal surgery." In Operative Pediatric Surgery, 805–14. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-86.

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Syamken, M., H. Trautner, and U. Schwemmer. "Pre-Operative Requisites." In Surgery in Wounds, 131–35. Berlin, Heidelberg: Springer Berlin Heidelberg, 2004. http://dx.doi.org/10.1007/978-3-642-59307-9_14.

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Criado, Enrique, and George Johnson. "Operative and non-operative interruption of the inferior vena cava." In Vascular Surgery, 593–600. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-6854-8_59.

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Conference papers on the topic "Surgery, Operative Surgery, Operative Suturing"

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Onal, Sinan, Susana Lai-Yuen, and Stuart Hart. "Design of a Universal Laparoscopic Suturing Device." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53187.

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Minimally invasive surgery (MIS) or laparoscopic surgery has changed the focus of surgery and has become an alternative to open surgical procedures. Operations are performed through small incisions in the abdomen thus avoiding the need for large incisions. This results in less tissue trauma, less scarring, and faster post-operative recovery time. However, the inherent challenges of laparoscopic procedures include limited visibility, constrained working space and the need for advanced surgical tools to safely and efficiently perform the surgical procedure. It is also necessary for surgeons to obtain advanced surgical training to perform these procedures.
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Li, Senhu, Brian T. Lennon, Jon M. Waite, Logan W. Clements, Mike A. Scherer, and Jim D. Stefansic. "Liver surgery perspective: from pre-operative surgery planning to intra-operative image guided operation." In Sixth International Symposium on Multispectral Image Processing and Pattern Recognition, edited by Jianguo Liu, Kunio Doi, Aaron Fenster, and S. C. Chan. SPIE, 2009. http://dx.doi.org/10.1117/12.834073.

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Zairi, Fahed. "Neck Axial Pain Operative Management." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.030.

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Assaker, Richard. "Cervical Radiculopathy Non-Operative Management." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.032.

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Monticone, Marco. "Lumbar Spondylosis: Non-Operative Treatment." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.051.

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Aguirre, José. "Pre-operative Assessment of Spinal Patients." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.017.

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Li, Xiang, Hui Xiang, and Jiang Lin. "Semi-automatic 3D virtual surgery environment generation from operative surgery manuals." In 2012 International Conference on Systems and Informatics (ICSAI). IEEE, 2012. http://dx.doi.org/10.1109/icsai.2012.6223054.

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Zanoli, Gustavo. "Spinal Stenosis: Non-Operative Treatment, Rehab, Medication." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.047.

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Cheng, V. S., Su Zhang, Yazhu Chen, and Lijun Hao. "A Stereo Thermographic System for Intra-operative Surgery." In 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference. IEEE, 2005. http://dx.doi.org/10.1109/iembs.2005.1616843.

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Zairi, Fahed. "Natural History and Non-Operative Management of Cervical Myelopathy." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.029.

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Reports on the topic "Surgery, Operative Surgery, Operative Suturing"

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Pratx, Guillem. Intra-operative Cerenkov Imaging for Guiding Breast Cancer Surgery and Assessing Tumor Margins. Fort Belvoir, VA: Defense Technical Information Center, March 2014. http://dx.doi.org/10.21236/ada601641.

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Moss, David, Paul Crawford, Heather Pickett, and Eric Abbott. Ear Acupuncture for Post-Operative Pain Associated with Ambulatory Arthroscopic Knee Surgery: A Randomized Controlled Trial. Fort Belvoir, VA: Defense Technical Information Center, January 2014. http://dx.doi.org/10.21236/ada595444.

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Moss, David, Paul Crawford, Heather Pickett, and Eric Abbott. Ear Acupuncture for Post-Operative Pain Associated with Ambulatory Arthroscopic Knee Surgery: A Randomized Controlled Trial. Fort Belvoir, VA: Defense Technical Information Center, January 2014. http://dx.doi.org/10.21236/ada594194.

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Acred, Aleksander, Milena Devineni, and Lindsey Blake. Opioid Free Anesthesia to Prevent Post Operative Nausea/Vomiting. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0006.

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Purpose The purpose of this study is to compare the incidence of post-operative nausea and vomiting (PONV) in opioid-utilizing and opioid-free general anesthesia. Background PONV is an extremely common, potentially dangerous side effect of general anesthesia. PONV is caused by a collection of anesthetic and surgical interventions. Current practice to prevent PONV is to use 1-2 antiemetics during surgery, identify high risk patients and utilize tracheal intubation over laryngeal airways when indicated. Current research suggests minimizing the use of volatile anesthetics and opioids can reduce the incidence of PONV, but this does not reflect current practice. Methods In this scoping review, the MeSH search terms used to collect data were “anesthesia”, “postoperative nausea and vomiting”, “morbidity”, “retrospective studies”, “anesthesia, general”, “analgesics, opioid”, “pain postoperative”, “pain management” and “anesthesia, intravenous”. The Discovery Search engine, AccessMedicine and UpToDate were the search engines used to research this data. Filters were applied to these searches to ensure all the literature was peer-reviewed, full-text and preferably from academic journals. Results Opioid free anesthesia was found to decrease PONV by 69%. PONV incidence was overwhelming decreased with opioid free anesthesia in every study that was reviewed. Implications The future direction of opioid-free anesthesia and PONV prevention are broad topics to discuss, due to the nature of anesthesia. Administration of TIVA, esmolol and ketamine, as well as the decision to withhold opioids, are solely up to the anesthesia provider’s discretion. Increasing research and education in the importance of opioid-free anesthesia to decrease the incidence of PONV will be necessary to ensure anesthesia providers choose this protocol in their practice.
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Tornatore, Laura. Is intra-operative passive movement therapy (IPM) effective in reducing postoperative morphine consumption, and improving the quality of recovery and functional ability of patients following breast reconstruction surgery? A randomised controlled trial. National Institute for Health Research, May 2021. http://dx.doi.org/10.3310/nihropenres.1115152.1.

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Harris, Gregory, Brooke Hatchell, Davelin Woodard, and Dwayne Accardo. Intraoperative Dexmedetomidine for Reduction of Postoperative Delirium in the Elderly: A Scoping Review. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0010.

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Background/Purpose: Post-operative delirium leads to significant morbidity in elderly patients, yet there is no regimen to prevent POD. Opioid use in the elderly surgical population is of the most significant risk factors for developing POD. The purpose of this scoping review is to recognize that Dexmedetomidine mitigates cognitive dysfunction secondary to acute pain and the use of narcotic analgesia by decreasing the amount of norepinephrine (an excitatory neurotransmitter) released during times of stress. This mechanism of action also provides analgesia through decreased perception and modulation of pain. Methods: The authors developed eligibility criteria for inclusion of articles and performed a systematic search of several databases. Each of the authors initially selected five articles for inclusion in the scoping review. We created annotated literature tables for easy screening by co-authors. After reviewing the annotated literature table four articles were excluded, leaving 11 articles for inclusion in the scoping review. There were six level I meta-analysis/systematic reviews, four level II randomized clinical trials, and one level IV qualitative research article. Next, we created a data-charting form on Microsoft Word for extraction of data items and synthesis of results. Results: Two of the studies found no significant difference in POD between dexmedetomidine groups and control groups. The nine remaining studies noted decreases in the rate, duration, and risk of POD in the groups receiving dexmedetomidine either intraoperatively or postoperatively. Multiple studies found secondary benefits in addition to decreased POD, such as a reduction of tachycardia, hypertension, stroke, hypoxemia, and narcotic use. One study, however, found that the incidence of hypotension and bradycardia were increased among the elderly population. Implications for Nursing Practice: Surgery is a tremendous stressor in any age group, but especially the elderly population. It has been shown postoperative delirium occurs in 17-61% of major surgery procedures with 30-40% of the cases assumed to be preventable. Opioid administration in the elderly surgical population is one of the most significant risk factors for developing POD. With anesthesia practice already leaning towards opioid-free and opioid-limited anesthetic, the incorporation of dexmedetomidine could prove to be a valuable resource in both reducing opioid use and POD in the elderly surgical population. Although more research is needed, the current evidence is promising.
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Schwieger, Alexandra, Kaelee Shrewsbury, and Paul Shaver. Dexmedetomidine vs Fentanyl in Attenuating the Sympathetic Surge During Endotracheal Intubation: A Scoping Review. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0007.

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Purpose/Background Direct laryngoscopy and endotracheal intubation after induction of anesthesia can cause a reflex sympathetic surge of catecholamines caused by airway stimulation. This may cause hypertension, tachycardia, and arrhythmias. This reflex can be detrimental in patients with poor cardiac reserve and can be poorly tolerated and lead to adverse events such as myocardial ischemia. Fentanyl, a potent opioid, with a rapid onset and short duration of action is given during induction to block the sympathetic response. With a rise in the opioid crisis and finding ways to change the practice in medicine to use less opioids, dexmedetomidine, an alpha 2 adrenergic agonist, can decrease the release of norepinephrine, has analgesic properties, and can lower the heart rate. Methods In this scoping review, studies published between 2009 and 2021 that compared fentanyl and dexmedetomidine during general anesthesia induction and endotracheal intubation of surgical patients over the age of 18 were included. Full text, peer-reviewed studies in English were included with no limit on country of study. The outcomes included post-operative reviews of decrease in pain medication usage and hemodynamic stability. Studies that were included focused on hemodynamic variables such as systolic blood pressure, diastolic blood pressure, mean arterial pressure, heart rate, and use of opioids post-surgery. Result Of 2,114 results from our search, 10 articles were selected based on multiple eligibility criteria of age greater than 18, patients undergoing endotracheal intubation after induction of general anesthesia, and required either a dose of dexmedetomidine or fentanyl to be given prior to intubation. Dexmedetomidine was shown to effectively attenuate the sympathetic surge during intubation over fentanyl. Dexmedetomidine showed a greater reduction in heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure than fentanyl, causing better hemodynamic stability in patients undergoing elective surgery.Implications for Nursing Practice Findings during this scoping review indicate that dexmedetomidine is a safe and effective alternative to fentanyl during induction of general anesthesia and endotracheal intubation in attenuating the hemodynamic response. It is also a safe choice for opioid-free anesthesia.
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Peri-operative venous thromboembolism. Pharmacological prophylaxis in urological surgery: why and how? BJUI Knowledge, July 2017. http://dx.doi.org/10.18591/bjuik.0317.

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