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Since the era of the widespread introduction of antibiotics into the human sphere of activity, the problem of antimicrobial resistance has become an urgent and very important topic around the world. Recently, coagulasonegative staphylococci (CoNS), which are representatives of opportunistic microorganisms of the microbiome of the skin and mucous membranes of healthy people, have made a certain contribution to its progression. For a long time, they did not pose a threat to patients, but in recent decades among microorganisms they have been seeded in more than two-thirds of patients with postoperative mediastinitis, catheter-associated infections, as well as from wounds of the neck vessels and the inguinal region separated by pacemaker beds.
View Article and Find Full Text PDFReal-Time Fluorescence Imaging for Thoracic Duct Identification during Oesophagectomy: A Systematic Review of the Literature.
J Chest Surg
January 2025
Department of Upper GI Surgery, Salford Royal Foundation Trust, Northern Care Alliance, Salford, UK.
Postoperative chylothorax is a serious complication after oesophagectomy. Real-time identification of the thoracic duct (TD) could prevent injury or facilitate prompt management when it occurs. Intraoperative TD lymphography with indocyanine green (ICG) is a novel technique that may help prevent chyle leaks following thoracic surgery.
View Article and Find Full Text PDFBeyond the hernia in groin ultrasound.
Ultrasound
December 2024
Department of Radiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Introduction: Groin discomfort is one of the most common presenting complaints in health care and often requires ultrasound to detect hernias. However, such singular emphasis leads to over diagnosing hernia and other significant aetiologies in and around the groin are overlooked.
Topic Description: The article elaborates on the key areas a sonographer needs to focus on and presents a range of conditions responsible for groin pain other than hernia.
Non-fixation versus fixation of mesh in laparoscopic transabdominal preperitoneal repair of inguinal hernia: A systematic review and meta-analysis of randomized controlled trials.
PLoS One
December 2024
Department of General Surgery, The 983rd Hospital of Joint Logistic Support Force of PLA, Tianjin, China.
Purpose: The impact of non-fixation of mesh in transabdominal preperitoneal (TAPP) inguinal hernia repair has not been fully assessed. The aim of this meta-analysis was to comprehensively compare the clinical outcomes of non-fixation and fixation of mesh in TAPP to determine whether non-fixation could affect the outcomes.
Methods: PubMed, Embase and CENTRAL were searched for studies on TAPP repair of inguinal hernia and mesh fixation published up to June 2023.
Comparison of Analgesic Efficacy between Ultrasound-guided Supra-inguinal Fascia Iliaca Block and Pericapsular Nerve Group Block following Total Hip Arthroplasty: A Randomized Controlled Trial.
Hip Pelvis
December 2024
Department of Anesthesiology, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society and Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Article Synopsis
- The study aimed to compare the effectiveness of pericapsular nerve group (PENG) block and suprainguinal fascia iliaca block (SFIB) in reducing opioid use and pain after hip arthroplasty.
- Researchers conducted a double-blind, randomized trial with 60 patients, measuring the total intravenous fentanyl consumption in the first 24 hours post-surgery as the main outcome.
- Results showed no significant differences in opioid consumption or pain scores between the two groups, but the PENG group reported better sensory perception and muscle strength at 12 hours post-op.
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