Publications by authors named "C Anbarasu"

Hepatocellular carcinoma (HCC) is an aggressive form of liver cancer that arises in a background of chronic hepatic injury. Metabolic syndrome-associated fatty liver disease (MAFLD) and its severe form, nonalcoholic steatohepatitis (NASH), are increasingly common mechanisms for new HCC cases. NASH-HCC patients are frequently obese and medically complex, posing challenges for clinical management.

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Article Synopsis
  • Cryoablation during the Nuss procedure lowers opioid use and shortens hospital stays but raises total hospital costs compared to patient-controlled analgesia (PCA).
  • A study from 2016 to 2020 analyzed pain management techniques using data from various cohorts, revealing cryoablation had higher operating room supply costs compared to other methods.
  • Despite the increased costs, cryoablation was linked to fewer complications like urinary retention and did not lead to additional issues like allodynia or the need for reoperations.
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Introduction:  The Nuss procedure is the most common and preferred operative correction of pectus excavatum. Surgeon preference and patient factors can result in variations in Nuss procedure technique. We hypothesize that certain techniques are associated with increased risk of complications.

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Background: Recent studies have shown intercostal cryoablation(IC) during the Nuss procedure decreases hospital length of stay(LOS) and opioid administration. However, few studies have also evaluated the risk of postoperative complications related to IC.

Methods: We performed a single center retrospective analysis of all patients who underwent Nuss procedure by one surgeon from 2/2016 to 2/2020, comparing intraoperative IC to other pain management modalities(non-IC).

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