Publications by authors named "Abdourahamane Kaba"

Article Synopsis
  • High compliance with enhanced recovery programs (ERP) is correlated with better healthcare outcomes, specifically in liver surgery (LS) patients.
  • A study analyzed 706 LS patients and found that those with over 70% ERP compliance had significantly higher rates of achieving textbook outcomes (TO) compared to those with lower compliance.
  • Key factors negatively affecting TO achievement included having cholangiocarcinoma, undergoing high complexity LS, experiencing intraoperative hypotension, and suffering from postoperative ileus.
View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted to analyze the impact of Enhanced Recovery Programs (ERPs) on patients undergoing liver surgery in a designated reference center.
  • Researchers compared data from 75 patients treated after implementing the ERP to 75 patients treated before, focusing on hospital stay length, complications, and protocol adherence.
  • The results showed a significant decrease in hospital stay duration (3 vs. 4 days) and postoperative complications (24% vs. 45.3%), mainly due to a reduction in minor issues like postoperative ileus, alongside improved adherence to recovery protocols.
View Article and Find Full Text PDF

Background: Enhanced Recovery After Surgery (ERAS) is a multimodal, evidence-based, program of care developed to minimize the response to surgical stress, associated with reduced perioperative morbidity and hospital stay. This study presents the specific ERAS Society recommendations for liver transplantation (LT) based on the best available evidence and on expert consensus.

Methods: PubMed and ClinicalTrials.

View Article and Find Full Text PDF

Background: Laparoscopic cholecystectomy might be considered minor surgery, but it may result in severe postoperative pain. Subcostal transversus abdominis plane (TAP) block, which produces long-lasting supra-umbilical parietal analgesia, might improve analgesia after laparoscopic cholecystectomy.

Objective: We investigated whether subcostal TAP block would reduce opioid consumption and pain after laparoscopic cholecystectomy in patients provided with multimodal analgesia.

View Article and Find Full Text PDF

Background: Morbid obesity results in marked respiratory pathophysiologic changes that may lead to impaired intraoperative gas exchange. The decelerating inspiratory flow and constant inspiratory airway pressure resulting from pressure-controlled ventilation (PCV) may be more adapted to these changes and improve gas exchanges compared with volume-controlled ventilation (VCV).

Methods: Forty morbidly obese patients scheduled for gastric bypass were included in this study.

View Article and Find Full Text PDF

Background: Intravenous infusion of lidocaine decreases postoperative pain and speeds the return of bowel function. The authors therefore tested the hypothesis that perioperative lidocaine infusion facilitates acute rehabilitation protocol in patients undergoing laparoscopic colectomy.

Methods: Forty patients scheduled to undergo laparoscopic colectomy were randomly allocated to receive intravenous lidocaine (bolus injection of 1.

View Article and Find Full Text PDF

Unlabelled: When used alone, lipid-soluble epidural opioids are thought to produce analgesia supraspinally via systemic absorption. However, spinal opioids and local anesthetics have been shown to act synergistically at the spinal level in animal studies. We, therefore, tested the hypothesis that sufentanil requirements will be less when given epidurally than IV in patients simultaneously given epidural bupivacaine after major abdominal surgery.

View Article and Find Full Text PDF