1,721,019 research outputs found
Emergency laparoscopic surgery in the elderly and frail patient
No full textFrailty is predictive of mortality, postoperative complications, and institutional discharge in older patients undergoing cardiac and noncardiac surgery. To improve morbidity and mortality, several aspects of care need to be addressed. These include accurate and timely preoperative assessment to identify treatable pathology and, where possible, to consider and correct age-specific disease processes
Emergency Laparoscopy
No full textThe authors adopted the following methodology for literature search
Effect of Gastrointestinal Surgical Manipulation on Metabolic Syndrome: A Focus on Metabolic Surgery
Full text linkMetabolic syndrome is strictly associated with morbid obesity and leads to an increased risk of cardiovascular diseases and related mortality. Bariatric surgery is considered an effective option for the management of these patients. We searched MEDLINE, Current Contents, and the Cochrane Library for papers published on bariatric surgery outcomes in English from 1 January 1990 to 20 July 2012. We reported the effect of gastrointestinal manipulation on metabolic syndrome after bariatric surgery. Bariatric surgery determines an important resolution rate of major obesity-related comorbidities. Roux-en-Y gastric bypass and biliopancreatic diversion appear to be more effective than adjustable gastric banding in terms of weight loss and comorbidities resolution. However, the results obtained in terms of weight loss and resolution of comorbidities after a “new bariatric procedure” (sleeve gastrectomy) encouraged and stimulated the diffusion of this operation
Acute complications after laparoscopic bariatric procedures: update for the general surgeon
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Perforated Gastroduodenal Ulcer
No full textPeptic ulcer is a very common disease in the population, especially in the elderly, with an incidence of 5-10%. It is estimated that 2-10% of patients with peptic ulcer undergo ulcer perforation, which is one of the most common complications. The control of risk factors over time, associated with the improvement of diagnostic criteria and the improvement of surgical techniques, has made the outcome of this pathology much better. The aim of this chapter was to focus on the consequences and diagnostic-therapeutic management of peptic ulcer perforation in the frail elderly patient. The purpose was to identify in the literature which clinical and diagnostic criteria may be used in order to identify the patients who can obtain the best outcome through surgical treatment for peptic ulcer perforation
Peer review report 2 on “Surgeon symptoms, strain, and selections: Systematic review and meta-analysis of surgical ergonomics”
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Peer review report 2 on “Frequency, Characteristics and Outcomes of Appendicular Neuroendocrine Tumors: A Cross-sectional Study from An Academic Tertiary Care Hospital”
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