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Urinary Catheter Utility in Laparoscopic Appendectomy: Risk Benefit Analysis of Post-Operative Urinary Tract Complications.
Surg Infect (Larchmt)
December 2024
Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Catheter-associated urinary tract infections (CAUTIs) account for 1 million nosocomial infections annually and 75% of all hospital-acquired UTIs. A risk factor for CAUTI is prolonged urinary catheterization (UC); therefore, transitory UC during laparoscopic appendectomy (LA), a common practice justified to avoid iatrogenic bladder injury, is believed to be safe. However, data on the incidence of post-operative UC-related complications, including CAUTI, following LA or their avoidance are limited.
View Article and Find Full Text PDFTransoral robotic salivary surgery for hilar\parenchymal submandibular stones.
Front Surg
November 2024
Department of Otolaryngology and Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Article Synopsis
- A study was conducted on 54 adult patients with submandibular stones who underwent a robotic surgery called sialendoscopy-assisted TORSS between January 2019 and June 2023 to evaluate its safety and effectiveness.
- The overall success rate of the procedure was 81.5%, with better outcomes for patients with palpable stones compared to those with non-palpable stones (92.7% vs. 46.2%).
- Results indicated that stone characteristics such as size and location are important for predicting surgical success, emphasizing the need for careful pre-operative planning to select appropriate candidates for the procedure.
Extracorporeal Off-Pump Antegrade Cerebral Perfusion in Reconstructive Surgery for Type A Aortic Dissection With Cerebral Malperfusion.
Cureus
October 2024
Department of Cardiovascular Medicine, RUDN University, Moscow, RUS.
Article Synopsis
- TAAD is a severe condition often complicated by CM, which can cause significant neurological damage; CPB and ACP are traditional methods used for cerebral protection during surgery but carry higher risks.
- This study investigates a new off-pump technique using an axillo-axillary shunt to maintain continuous blood flow to the brain during aortic arch surgery for patients with TAAD and CM.
- Results show that this innovative technique provided stable cerebral perfusion without new permanent neurological issues; however, some patients experienced temporary symptoms, and there was a low operative mortality rate of 5.6%.
CO2 delivery techniques in mini-sternotomy surgery and neurological events: a multicentric study.
BMC Cardiovasc Disord
October 2024
Heart Surgery Unit, San Giovanni Battista Hospital - Molinette, Turin, Italy.
Article Synopsis
- A study evaluated the effectiveness of a commercial sponge diffuser versus a custom-made cannula and no CO2 in preventing neurological events after aortic valve replacement surgery.
- Three patient groups were compared based on their CO2 delivery method, with a focus on outcomes like stroke, dizziness, and mechanical ventilation duration.
- Results showed that the sponge diffuser group had a significantly lower duration of mechanical ventilation, decreased 30-day mortality, and fewer neurological events compared to the other methods.
Factors Limiting Ostomy Reversal After Cytoreductive Surgery for Ovarian Cancer: A Retrospective Study.
Anticancer Res
October 2024
Department of Gynecologic Oncology, Insular Materno-Infantil University Hospital, Las Palmas, Spain.
Background/aim: To investigate the factors related to non-reversal of ostomy after cytoreductive surgery in ovarian cancer. In many women with ovarian cancer, transitory ostomies are performed to limit the consequences of anastomotic leak. Although intended to be temporary, a proportion of these ostomies might never be reversed.
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