Publications by authors named "J Paral"
ERAS (enhanced recovery after surgery) represents a comprehensive strategy aimed at expediting patient recovery, reducing complications, and optimizing postoperative care. The ERAS protocol encompasses recommendations for the preoperative, perioperative, and postoperative phases of patient care. Implementation of the ERAS protocol yields a multitude of benefits for both patients and the healthcare system.
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- - Postoperative adhesions are a major problem after abdominal and pelvic surgeries, leading to complications that can arise soon after surgery or much later.
- - These adhesions occur due to surgical trauma or infection, disrupting the normal healing process in the peritoneum, where there's an imbalance between fibrin build-up and break down.
- - The paper reviews how postoperative adhesions develop and discusses different methods to potentially prevent them, using data from various medical research databases.
Platelet-rich plasma (PRP) is presently employed across various medical disciplines, including surgical specialties. It is primarily used in the healing of chronic wounds, burn medicine, tissue regeneration support, and scar correction as well as in other surgical and orthopedic indications. Wounds, in general, possess a pro-inflammatory biochemical environment characterized by high protease activity that diminishes the effective concentration of growth factors.
View Article and Find Full Text PDFObjectives: Although sarcopenia is recognized as one of the risk factors for increased morbidity after resection for colorectal cancer, the question of the most appropriate way to identify and quantify it is still unresolved.
Material And Methods: This is a retrospective unicentric study following patients undergoing elective resection of the rectum for carcinoma with available staging computed tomography (CT) of the trunk. Psoas muscle density (PMD) and its area relative to patient height psoas muscle index (PMI) at the level of inferior vertebral end plate of third lumbar vertebra (L3) were assessed using an initial staging CT scan of the trunk.
Objective: In this experimental study, we aimed to determine whether platelet-rich plasma (PRP) is a suitable preservative for dermo-epidermal grafts. An additional objective was to investigate how long grafts can be stored without biological degradation.
Methods: We compared pig skin graft preservation using PRP versus saline solution and crystalloid Custodiol, which is used for hypothermic preservation of organs for transplantation.