Publications by authors named "J B Kukreja"

Urinary diversions are performed for a wide variety of indications, including bladder removal for cancer treatment, post-cancer treatment complications, trauma, or bladder pain. The robotic approach has been increasingly used in performing urinary diversions since the introduction of the surgical robot. A PubMed keyword search was performed on September 14, 2023 with the terms: robotic and urinary diversion.

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Background: Donor lung procurement and preservation is critical for lung transplantation success. Unfortunately, the large variability in techniques impacts organ utilization rates and transplantation outcomes. Compounding this variation, recent developments in cold static preservation and new technological advances with machine perfusion have increased the complexity of the procedure.

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Article Synopsis
  • Pleural effusions, a common complication after lung transplantation, affect 10% to 26% of patients, prompting this study to identify factors linked to significant cases requiring repeat interventions.
  • The study reviewed 77 lung transplant recipients who underwent thoracentesis from 2012 to 2022, comparing those needing only one procedure to those requiring multiple interventions.
  • Findings revealed that patients needing additional procedures showed larger effusions, increased loculations, and higher levels of eosinophils and monocytes in pleural fluid, suggesting these characteristics could help predict problematic effusions.
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Article Synopsis
  • The medical complexities of geriatric patients are increasing, but surgical outcomes for older adults are improving as medical centers expand their approaches.
  • Effective perioperative fluid management is recognized as crucial for better postoperative results in older patients.
  • Managing fluids in older adults is difficult due to age-related organ changes, more existing health issues, and significant fluid shifts during complex surgeries.
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Background: Invasive fungal infections can cause serious complications after lung transplant; therefore, prophylaxis with posaconazole is common. The posaconazole delayed-release (DR) tablet is preferred. Although the package insert states DR tablets cannot be crushed, recent data suggest it is reasonable.

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