SMJ articles in the category "surgery"

Original Article

Periprocedural Complications in Adults with Mediastinal Masses

Objectives: Respiratory and cardiovascular catastrophes are feared complications in patients with mediastinal masses undergoing anesthesia. Only a few of these events in the adult population have been noted in rare case reports, however. We aimed to investigate the complications related to surgical resection or biopsy involving mediastinal masses in clinical…

Posted in: mediastinal mass 2 surgery 23

Original Article

Risk Factors and Surgical Outcomes of Older Adult Patients Undergoing a Whipple Procedure

Objectives: The Whipple procedure, or pancreatoduodenectomy with pancreatojejunostomy, can result in adverse outcomes among older adult patients with lower physiological reserves. As such, we studied the differences in comorbidities and postoperative outcomes between older adult and younger (nonolder adult) populations following Whipple procedures. Methods: We compared clinical factors of 1553…

Posted in: pancreatic cancer 6 surgery 23

Original Article

Patient Self-Reported Allergies and Their Correlation with Thoracic Outlet Syndrome Outcomes

Objectives: Thoracic outlet syndrome (TOS) is an uncommon neurovascular disorder that presents as neck and upper extremity pain secondary to brachial plexus trunk or subclavian vasculature compression. The orthopedic literature has correlated patient-reported allergies to postoperative patient-reported outcome (PRO) scores for a variety of surgical procedures. We sought to evaluate…

Posted in: surgery 23

Original Article

Time to Hip Fracture Surgery and Mortality

Objective: This retrospective study explored the impact of time to surgery in acute hip fractures and outcomes in patients with acute hip fractures at a level I trauma center within an academic medical center in the southeastern United States. The objective was to explore the association between time to surgery…

Posted in: hip fracture 5 mortality 38 older adult 4 surgery 23

Original Article

Do Mixed-Flora Preoperative Urine Cultures Matter?

Objectives: To determine whether mixed-flora preoperative urine cultures, as compared with no-growth preoperative urine cultures, are associated with a higher prevalence of postoperative urinary tract infections (UTIs). Methods: This was a retrospective cohort study. Women who underwent urogynecologic surgery were included if their preoperative clean-catch urine culture result was mixed…

Posted in: surgery 23 urinary tract infection 7

Review Article

CME Article: Perioperative Management in Sickle Cell Disease

Many patients with sickle cell disease (SCD) will require surgical intervention during the course of their lifetime. Common surgeries include orthopedic and abdominal procedures. Perioperative complications occur commonly and can be related to the surgical procedure or the underlying hemoglobinopathy. The complication rate may be reduced by preoperative optimization of…

Posted in: sickle cell disease 28 surgery 23 thromboembolism 6 transfusion 5

Original Article

Is Early Reperfusion a Good Thing? Optimal Timing of CABG Surgery Postacute Myocardial Infarction

Objectives: The optimal timing of coronary artery bypass grafting (CABG) following an acute myocardial infarction (AMI) is a topic of debate. The present study was designed to evaluate patients undergoing CABG both early (5 days) after AMI in the era of percutaneous coronary intervention. Methods: The medical records at our…

Posted in: surgery 23

Original Article

Modern Management of Thoracic Empyema

Objectives: Historically, surgical management of empyema was performed predominantly via open thoracotomy; however, during the past decade the use of video-assisted thoracoscopic surgery (VATS) as an alternative has increased. This study retrospectively compared the outcomes and management of patients with empyema at the University of Kentucky Medical Center who had…

Posted in: empyema 3 outcomes 19 surgery 23 thoracotomy 4 video-assisted thoracoscopic surgery 3

Review

Using Music Interventions in Perioperative Care

Anxiety and pain are common responses to surgery, and both can negatively affect patient outcomes. Music interventions have been suggested as a nonpharmacological intervention to alleviate pain and anxiety during surgical treatment. Although the data are somewhat mixed, the research suggests that music-based interventions are effective in reducing anxiety, pain…

Posted in: anxiety 8 music 3 pain 18 surgery 23

Case Report

Resolution of Pulsatile Tinnitus Following an Upper Mediastinal Lymph Node Resection

External compression of extracranial/mediastinal vessels has not been reported as an etiology of pulsatile tinnitus. We present a case in which compression of extracranial vasculature led to long term pulsatile tinnitus which resolved completely with surgical resection of metastatic lymph nodes. This should be included in the list of differential…

Posted in: surgery 23 tinnitus 2

Original Article

Intraoperative Fetal Heart Rate Monitoring During Nonobstetric Surgery in Pregnancy: A Practice Survey

Objective: To assess practice patterns concerning intraoperative fetal heart rate monitoring during nonobstetric surgery in pregnancy among members of the Association of Professors of Gynecology and Obstetrics (APGO). Study Design: A 16-question survey regarding intraoperative fetal heart rate monitoring during nonobstetric surgery was delivered to the 1300 APGO members via…

Posted in: surgery 23

Case Report

Desmoid Tumor Arising in the Site of Previous Surgery in the Left Lower Quadrant of the Abdomen

A desmoid tumor is a fibroblastic proliferation arising in musculoaponeurotic structures. The pathogenesis is still not clear. A 79-year-old woman who developed a desmoid tumor in the left lower abdomen after surgical resection of an abdominal lipoma seven years previously is presented. Preoperative computed tomography showed a large left lower…

Posted in: computed tomography 11 polyposis 2 surgery 23 tumor 6

Case Report

Sternal Osteomyelitis After Minor Trauma

Abstract:Sternal osteomyelitis secondary to minor trauma occurs rarely. Only a handful of cases have been reported. A 24-year-old male patient who had history of intravenous drug abuse and recent minor sternal trauma presented with signs and symptoms of sternal infection. Imaging studies suggested osteomyelitis and the patient underwent sternal resection,…

Posted in: osteomyelitis 11 Staphylococcus aureus 14 surgery 23

Case Report

Metachronous Splenic Metastasis from Colonic Carcinoma Five Years After Surgery: A Case Report and Literature Review

Abstract:Metastatic lesions of the spleen are a rare finding and are generally associated with widespread disease. Moreover, solitary metastases of the spleen are exceptional. In this paper, we describe the case of a patient who developed an isolated splenic metastasis from colon carcinoma five years after surgery, and was successfully…

Posted in: colon carcinoma 2 splenic metastasis 3 surgery 23

Case Report

Uterine Leiomyosarcoma Metastatic to Soft Tissue of the Flank Following a Ten-Year Disease-Free Interval

Abstract:A 52-year-old female presented with a metastatic uterine leiomyosarcoma to the left flank ten years following total abdominal hysterectomy for a left adnexal primary. Due to the location of the metastasis in the subcutaneous tissue, it was initially felt to be a lipoma. Following excision, pathology revealed leiomyosarcoma. Rarely do…

Posted in: metastatic 3 surgery 23

Original Article

Prevalence of Intra-abdominal Surgery: What Is an Individual’s Lifetime Risk?

Background:The lifetime risk of intra-abdominal surgery is unknown. The objectives of this study were to derive this information from our local population, and to consider the role of incidental surgery.Methods:Over an 8-year period, 2648 autopsy and clinical records from a public and private hospital were reviewed for evidence of intra-abdominal…

Posted in: abdominal 2 incidence 6 risk 3 surgery 23

Original Article

Surgical Oncology in the Community Hospital: Can It Be Done Safely?

Background: Many studies have documented the fact that outcomes and survival are improved when major surgical oncology cases are performed at high-volume centers. Consolidation of such cases in tertiary centers, however, is often not possible or practical, due to a number of factors. Methods: A retrospective review was performed of…

Posted in: Cancer 19 community hospital 2 safety 6 surgery 23

Case Report

Successful Treatment of Severe Gastrointestinal Bleeding Secondary to Crohn Disease with Recombinant Factor VIIa

A 58-year-old man diagnosed with ileocolonic Crohn disease was admitted to the emergency room with massive lower gastrointestinal hemorrhage and hypovolemic shock. Treatment was started with methylprednisolone, metronidazole and omeprazole. Within the next 24 hours, he received a total of 9 U of red blood cell concentrate and 2 U…

Posted in: bleeding 6 Crohn disease 5 hemorrhage 7 recombinant factor VIIa 2 surgery 23

Original Article

Total Thyroidectomy for the Treatment of Thyroid Diseases in an Endemic Area

Introduction: Thyroidectomy is a common operation with very low mortality and an acceptable morbidity rate. Total thyroidectomy has become the predominant type of surgery used today for the treatment of thyroid diseases. In this retrospective study, we analyzed the complications of thyroid surgery according to the operative technique used in…

Posted in: Cancer 19 surgery 23 thyroid 2 thyroidectomy 3

Expired CME Article

Perioperative Glucose Control in the Diabetic or Nondiabetic Patient

Patients with diabetes are more likely to undergo surgery than nondiabetics, and maintaining glycemic control in subjects with diabetes can be challenging during the perioperative period. Surgery in diabetic patients is associated with longer hospital stay, higher health care resource utilization, and greater perioperative mortality. In addition, several observational and…

Posted in: complications 13 hyperglycemia 8 surgery 23
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