Exciting News! Check out the latest publication in the BJA Open, comparing the effects of opioid-based vs. opioid-free analgesia on the nociception level index (NOL) during bariatric surgery. This study highlights how NOL-guided analgesia in both opioid-based and opioid-free anaesthesia could help increase patient comfort after surgery in patients with obesity. Dive into the full study to explore the fascinating insights that could help transform pain management in surgical care. Sean Coeckelenbergh Teodora Oltean Anne-Catherine Dandrifosse Matthieu Clanet alexandre joosten Read the full paper here - https://lnkd.in/ezhXM3i2
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Extended Postoperative Antibiotic Prophylaxis Is Associated with No Clinical Value and Higher Projected Cost Following Adult Spinal Surgery https://bit.ly/3AW3Vt2
Extended Postoperative Antibiotic Prophylaxis Is Associated with No Clinical Value and Higher Projected Cost Following Adult Spinal Surgery
jbjs.org
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Dear Colleagues, A recent publication in the American Journal of Case Reports by authors from São João University Hospital (CHUSJ), Porto, Portugal, describes a rare but potentially severe complication following robotic-assisted radical prostatectomy (RARP). The case study presents a patient with a prostatic fossa pseudoaneurysm, diagnosed one month after surgery and effectively managed through percutaneous embolization. This report highlights the importance of considering this condition, particularly when postoperative hematuria occurs 1-6 weeks after surgery. By employing a management algorithm involving serial blood tests, CT angiogram, and percutaneous angiography, early detection can be achieved, preventing life-threatening hemorrhage and reducing postoperative morbidity. The complete report is now available on the American Journal of Case Reports webpage. | https://lnkd.in/dEwxBtaV
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Congratulations to our Ob-Gyn and Bariatric Surgery care teams for being recognized as national leaders by Healthgrades! Overlake is a 2023 Gynecologic Surgery Excellence Award recipient (sixth consecutive year), as well as a five-star recipient in service categories for hysterectomy (ninth consecutive year, 2015-2023) and bariatric surgery. For Healthgrades' methodology and why choosing a hospital with these distinctions is so important.: https://bit.ly/48kHdpY
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In this episode, Dr. Isabel Green, fellowship director of Minimally Invasive Gynecologic Surgery at Mayo Clinic, speaks about persistent pain in endometriosis patients. We start with the pathophysiology of endometriosis, and move onto long-term management of the condition, especially if the typical treatment of hormonal and pain medications and excision surgery fail. Listening to the patient’s history, knowing exactly what the patient’s lesions looked like during surgery, repeat imaging, and learning the degree of neural involvement can help tailor the next steps. It’s important to remember that the treatment of endometriosis is a marathon, and it’s necessary to acknowledge the patient’s pain. Listen here: https://ow.ly/wnVN50QpNuf #Endometriosis #WomensHealth #OBGYN #PelvicPain #Gynecology
Persistent Pain in Endometriosis Patients w/ Dr. Isabel Green | BackTable OBGYN Podcast Ep. 26
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Dear Colleagues, A recent publication in the American Journal of Case Reports by authors from São João University Hospital (CHUSJ), Porto, Portugal, describes a rare but potentially severe complication following robotic-assisted radical prostatectomy (RARP). The case study presents a patient with a prostatic fossa pseudoaneurysm, diagnosed one month after surgery and effectively managed through percutaneous embolization. This report highlights the importance of considering this condition, particularly when postoperative hematuria occurs 1-6 weeks after surgery. By employing a management algorithm involving serial blood tests, CT angiogram, and percutaneous angiography, early detection can be achieved, preventing life-threatening hemorrhage and reducing postoperative morbidity. The complete report is now available on the American Journal of Case Reports webpage. | https://lnkd.in/d4wzgmN4
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New research suggests that severely obese patients slated for total knee replacement may benefit from significant weight loss prior to surgery. In a randomised trial, those who underwent laparoscopic gastric banding experienced lower complication rates (14.6% vs. 36.6% in the control group). Additionally, nearly one-third of participants declined knee surgery due to symptom improvement. This unexpected outcome underscores the potential benefits of bariatric surgery in improving knee replacement outcomes for obese individuals. Interested in learning more about this study? Click the link below to read the full article: https://lnkd.in/gbSy2z-Q
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The 2022 ASMBS/IFSO guidelines marked a pivotal update from those existing in the 1991 NIH guidelines. These new guidelines reflect the latest advancements in our field, supported by high-level evidence from systematic reviews and expert consensus. We’re excited to share some updates that are essential for expanding access to metabolic and bariatric surgery as these will be instrumental in ensuring that more individuals can benefit from life-saving metabolic and bariatric surgery. Read the full press release to learn more about these crucial updates and their impact: https://ow.ly/WUTj50Tvy1P
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The PROSPECT group's systematic review (DOI: 10.1097/EJA.0000000000001945) presents updated pain management guidelines for laparoscopic colorectal surgery. Paracetamol is suggested as a fundamental analgesic, with additional NSAIDs or COX-2 inhibitors recommended, tailored to surgery type. The study emphasizes evidence-based analgesia, contributing to improved postoperative care. #HealthcareGuidelines #Anesthesia #SurgicalRecovery #ClinicalPractice
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Registered Anaesthesia Associate & Critical Care Medicine⚕️| Fellowship In Facial Aesthetics & Clinical Cosmetology | Certified ACLS Provider From Medtigo Germany 🇩🇪 | Member Of AIAAOTT | Proficient Health Talk
Therandomized clinical trial assesses whether esketamine as an adjuvant to propofol sedation leads to a reduced incidence of desaturation and hypotension during endoscopic procedures. This randomized clinical trial investigates if paravertebral block (PVB) performed under video-assisted thoracoscopic surgery by a surgeon is noninferior to PVB performed by an anesthesiologist using an ultrasound-guided technique
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Recurrence is common after open surgery for synovial spinal cysts, and potentially due to joint violation and destabilization. This could be prevented via ultra-minimally invasive approaches. In the new video article: Full endoscopic resection of large bilateral synovial cysts in lumbar spine by Jannik Leyendecker, MD, Nelson Sofoluke, MD, Christoph Hofstetter, MD, PhD, and Sanjay Konakondla MD, the authors presented full endoscopic removal of bilateral synovial cysts in a patient with grade 1 stable spondylolisthesis using the system iLESSYS® Pro from joimax®. Postoperatively, the patient reported immediate pain relief. Read the full article here: https://lnkd.in/eWMAT9kg #joimax #ilessys #spine #endoscopy #ilessyspro #pioneeringspinesurgery #spineendoscopy #endoscopicspinesurgery #endoscopicsurgery #endoscopicspineexperts #minimallyinvasivespinesurgery
Full endoscopic resection of large bilateral synovial cysts in lumbar spine
thejns.org
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