Publications by authors named "A Z Agathis"
Managing Leaks and Fistulas After Laparoscopic Sleeve Gastrectomy: Challenges and Solutions.
Clin Exp Gastroenterol
January 2025
Postoperative leaks after sleeve gastrectomy are a troublesome complication that occur in 0.7-5.3% of cases depending on the referenced source.
View Article and Find Full Text PDFPurpose: While surgeons agree that perioperative field blocks should be performed for open inguinal hernia surgery, there lacks consensus in the minimally invasive context. Prior small-scale randomized trials study pain scores only up to 24 h postoperatively. Thus, we sought to investigate the analgesic benefits of a bupivacaine transversus abdominis plane (TAP) block in the first 4 postoperative days.
View Article and Find Full Text PDFArticle Synopsis
- Gallstone ileus is a rare condition that typically needs surgery to relieve bowel obstruction and manage biliary issues, but there's limited research on robotic surgery for this problem.
- A case is presented involving an 86-year-old woman who initially declined gallbladder removal but later required surgery for a small bowel obstruction caused by gallstone ileus.
- After an initial surgery to remove the gallstone, she successfully underwent a robotic-assisted gallbladder removal and fistula repair seven months later, recovering well without complications.
Purpose: The modified 5-factor frailty index (mFI-5) is a prognostic tool based on five comorbidities from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database-hypertension, congestive heart failure, chronic obstructive pulmonary disease (COPD), diabetes, and non-independent functional status. Our study investigates the mFI-5 index's ability to predict morbidity, length of stay (LOS), and discharge destination in geriatric patients undergoing inguinal hernia repairs, as well as assesses the interplay of baseline functional status.
Methods: Patients aged ≥ 65 years who underwent inguinal or femoral hernia repairs from the 2018-2020 NSQIP database were studied.
Background: Frailty is the age-related decline contributing to adverse outcome vulnerability. This study assesses the modified 5-factor frailty index's (mFI-5) ability to predict geriatric cholecystectomy outcomes.
Methods: Laparoscopic cholecystectomy patients ages ≥65 were identified from the American College of Surgeons' National Surgical Quality Improvement Program database (2018-2020).