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Abdominal Surgery

Operative Procedures on the Abdomen


Presentation

  • On postoperative day 14, the woman presented with a deep wound infection, then 1 week later with MRSA superinfection.[ncbi.nlm.nih.gov]
  • We present a unique case presentation of a small congenital diaphragmatic defect. CASE REPORT: A 79 female immediately postoperatively developed a hydrothorax following low anterior resection for rectal cancer.[ncbi.nlm.nih.gov]
  • We present the case of a 68-year-old woman with a remote history of abdominal surgery who presented with left-lower-extremity edema and pain. Magnetic resonance venography of the pelvic veins yielded a definitive diagnosis of May-Thurner syndrome.[ncbi.nlm.nih.gov]
  • Patients with a known difficult airway for intubation who present with intestinal obstruction are at an increased risk for receiving general anesthesia.[ncbi.nlm.nih.gov]
  • Demographics, vital signs, laboratory data, radiologic studies, operative records, associated injuries, and outcomes were analyzed and p RESULTS: Eight hundred sixty-two patients 0-18 years of age presented to the hospital after an MVC during the study[ncbi.nlm.nih.gov]
Painter
  • Myles PS 1 , Bellomo R 1 , Corcoran T 1 , Forbes A 1 , Peyton P 1 , Story D 1 , Christophi C 1 , Leslie K 1 , McGuinness S 1 , Parke R 1 , Serpell J 1 , Chan MTV 1 , Painter T 1 , McCluskey S 1 , Minto G 1 , Wallace S 1 ; Australian and New Zealand College[ncbi.nlm.nih.gov]
Hiccup
  • This emergency situation may be caused by excessive stress on the wound from coughing, hiccups, vomiting or distention; inadequate or tight sutures; wound infection; diabetes; poor nutrition or hematoma.[livestrong.com]
Abdominal Bruising
  • In addition, these data suggest that a lack of the seat belt sign, abdominal bruising, abdominal wounds, or abdominal tenderness are individually predictive of patients who will not require surgical intervention. Copyright 2017 Elsevier Inc.[ncbi.nlm.nih.gov]
Hyperalgesia
  • Pain and wound hyperalgesia were consistently greater on the "unblocked" side for the 3-wk period of observation. Thus, even imperfect intraoperative attenuation of noxious stimuli can lead to persistent reductions in postoperative pain.[ncbi.nlm.nih.gov]

Workup

Pneumoperitoneum
  • The effects of nitrous oxide and helium pneumoperitoneum compared with carbon dioxide pneumoperitoneum are uncertain.[ncbi.nlm.nih.gov]
  • In all 21 cases the pneumoperitoneum was established with Veress needle at the Palmer's point and the procedure was carried out after adhesiolysis in 62% of cases.[ncbi.nlm.nih.gov]
  • We also offer the latest treatments for complex ventral hernias (a condition in which tissues are pushing through the abdominal wall), such as the preoperative progressive pneumoperitoneum technique for particularly large ventral hernias.[ucsfhealth.org]

Treatment

  • With an ageing population, the number of elderly patients, as well as challenges concerning treatment will arise, calling for a coordinated effort both nationally and internationally to enhance treatment in this vulnerable patient group.[ncbi.nlm.nih.gov]
  • The remaining 50% (68 of 138) had treatment limitations, applied pre- or postoperatively, of which 4% were treated in the ICU ward.[ncbi.nlm.nih.gov]
  • OBJECTIVES: Orthotopic liver transplantation (OLT) is the preferred treatment for hepatocellular carcinoma (HCC) in select patients. Many patients listed for OLT have a history of prior upper abdominal surgery (UAS).[ncbi.nlm.nih.gov]
  • PURPOSE: To analyse technical success, complications, and short- and intermediate-term outcomes after heparin-bonded stent graft implantation for the treatment of major abdominal vessel injury after upper abdominal surgery.[ncbi.nlm.nih.gov]
  • However, little is known about the impact of previous abdominal surgery on the clinical characteristics and prognosis of PLA.The clinical data of 392 adult PLA patients who received treatment at our hospital from January 1, 2007 to December 31, 2016 were[ncbi.nlm.nih.gov]

Prognosis

  • PURPOSE: To evaluate the effect of retention sutures on abdominal pressure and postoperative prognosis in abdominal surgery patients.[ncbi.nlm.nih.gov]
  • We hypothesize that previous abdominal surgery (PAS) for associated congenital intestinal conditions could be used to identify BA earlier, perhaps improving prognosis.[ncbi.nlm.nih.gov]
  • However, little is known about the impact of previous abdominal surgery on the clinical characteristics and prognosis of PLA.The clinical data of 392 adult PLA patients who received treatment at our hospital from January 1, 2007 to December 31, 2016 were[ncbi.nlm.nih.gov]
  • “We will continue to monitor her closely, but all the signs suggest we should be optimistic about her long-term prognosis. This is credit to Abiageal, her family, as well as the surgical, medical and nursing teams involved in looking after her.”[express.co.uk]
  • Bagshaw, SM, Wald, R. " Acute kidney injury in 2010: Advances in diagnosis and estimating disease prognosis". Nature Reviews Nephrology. vol. 7. 2011. pp. 70-1. Kaplan, LJ, Kellum, JA. "Fluids, pH, ions and electrolytes".[clinicaladvisor.com]

Etiology

  • Various etiological aspects of chronic extraheptic venous thrombosis have not been documented due to the low incidence of these events. We discuss these aspects in the context of our patient.[ncbi.nlm.nih.gov]
  • BACKGROUND: Malnutrition is a clinical condition of multifactorial etiologies and it is associated with several adverse outcomes.[ncbi.nlm.nih.gov]
  • Liakakos T et al . (2001) Peritoneal adhesions: etiology, pathophysiology, and clinical significance: recent advances in prevention and management . Dig Surg 18 : 260–273 2.[nature.com]
  • "Microbial etiologies of hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia". Clinical Infectious Diseases. vol. 51. 2010. pp. S81-7. Marik, PE, Zaloga, GP.[clinicaladvisor.com]

Epidemiology

  • Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24 046 patients. Hum Reprod 2004 ; 19 : 1877 -85. Higgins J, Green S.[doi.org]
  • Epidemiology Patients with abdominal surgery and its complications generally represent 50% of the patient population in a tertiary or quaternary care hospital's surgical ICU.[clinicaladvisor.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology of each abdominal organ and the consequences for anesthesia. Consequences of bowel and biliary obstruction. Pathophysiology of chronic inflammatory bowel disease and consequences for anesthesia. Diabetes mellitus and the GI-tract.[ether.stanford.edu]
  • Liakakos T et al . (2001) Peritoneal adhesions: etiology, pathophysiology, and clinical significance: recent advances in prevention and management . Dig Surg 18 : 260–273 2.[nature.com]
  • Pathophysiology The pathophysiology of abdominal surgery is complex yet straightforward unless there are complications.[clinicaladvisor.com]
  • REFERENCES Kehlet H: Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 1997; 78:606-17 Aitkenhead AR: Cardiac morbidity after non-cardiac surgery. Lancet 1993; 341:731-2.[anesthesiology.pubs.asahq.org]

Prevention

  • Therefore, improving the intestinal microenvironment and intestinal barrier function before surgery is crucial to prevent POICs following highly invasive abdominal surgeries.[ncbi.nlm.nih.gov]
  • A video-assisted thoracoscopy procedure was undertaken, but the extensive pleural effusions, caused in part by the delay in the diagnosis, prevented the exact localization of the duct and its closure.[ncbi.nlm.nih.gov]
  • SUMMARY BACKGROUND DATA: Prehabilitation, including endurance exercise training and promotion of physical activity, in patients undergoing major abdominal surgery has been postulated as an effective preventive intervention to reduce postoperative complications[ncbi.nlm.nih.gov]
  • Integrating acupressure into perioperative care promises to bring benefits into preventing postoperative ileus.[ncbi.nlm.nih.gov]
  • Importance: Older patients undergoing abdominal surgery commonly experience preventable delirium, which extends their hospital length of stay (LOS).[ncbi.nlm.nih.gov]

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