Objective: This study aims to examine the effect of preoperative readiness on postoperative symptom management in patients with intestinal stoma through systematic review and meta-analysis.
Methods: "Intestinal stoma", "complications" and other related terms were searched regardless of the language of publication in the publications published in the databases until December 29, 2021.
Result: As a result, 30 studies were found. Two independent reviewers reviewed the studies, and the methodological quality of the included studies was assessed using the Health Evidence™ Quality Assessment Tool. The Comprehensive Meta-Analysis 3 was used to analyze the data. Publication bias, funnel plot, and the effect size were calculated using Cohen's kappa. Preparation for intestinal stoma surgery consisted of two main themes, and postoperative complications/problems consisted of nine sub-themes. The meta-analysis results showed that preoperative readiness had a moderate effect size on postoperative complications (d=0.498, d=0.457).
Conclusion: It was thus concluded that preoperative practices were significant and effective in postoperative symptom management.
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http://dx.doi.org/10.31557/APJCP.2023.24.9.2963 | DOI Listing |
Surgery
January 2025
Department of Surgery, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL. Electronic address:
Entrustable professional activities are a competency-based evaluation framework which was deployed by the American Board of Surgery in 2023 to evaluate general surgical residents and provide a path to independent practice. Entrustable professional activity microassessments are based on 18 conditions which are core to being a practicing general surgeon, and most include multiple phases of care, such as preoperative care, intraoperative care, and postoperative care. These evaluations are an amalgam of all the clinical competencies, including medical knowledge and patient care skills.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
December 2024
Department of Trauma Surgery and Orthopedics - Medical University of Vienna, AKH Wien, Vienna, Austria. Electronic address:
Background: While outcomes following reverse shoulder arthroplasty (rTSA) have often been gauged through radiological assessments focusing on prosthesis position, there is increasing recognition of patient-reported outcomes, particularly satisfaction, as indicators of surgical success. The objective of this study was to correlate radiological findings with clinical outcomes, patient satisfaction, and health-related quality of life (HRQoL).
Materials And Methods: A retrospective evaluation was conducted on patients following rTSA at a minimum of two years postoperatively.
BMC Med Ethics
December 2024
School of Public Health and Social Policy, Faculty of Human and Social Development, University of Victoria, Victoria, BC, Canada.
Background: Some transgender and nonbinary people undergo phalloplasty and/or metoidioplasty as part of their medical transition process. Across surgical disciplines, a variety of resources are used to assist patients who are preparing for surgeries, including educational materials, workshops, peer support, and lifestyle changes. For gender-affirming surgeries, patients undergoing assessments to discern whether they are ready to undergo the surgery, and to assist them in achieving preparedness when needed.
View Article and Find Full Text PDFJ Thorac Dis
November 2024
Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University College of Medicine, Ansan-si, Republic of Korea.
Background: In the process of video-assisted thoracoscopic surgery (VATS) for lung nodule resection, lung is leaded to atelectasis. However, preoperative computed tomography (CT) images are taken during inspiration, which means they differ significantly from the lung status observed during surgery. Consequently, this discrepancy can make the localization of small or subsolid nodules challenging during the operation.
View Article and Find Full Text PDFFront Digit Health
November 2024
Institute for Robotics and Intelligent Machines, Georgia Institute of Technology, Atlanta, GA, United States.
Introduction: Current preoperative exam guidelines utilize extensive lab tests, including blood tests and urine analysis, which are crucial for assessing surgical readiness. However, logistical challenges, especially for patients traveling long distances for high-quality medical care, create significant delays and burdens. This study aims to address these challenges by applying a previously developed point-of-care (POC) device system to perform accurate and rapid lab tests.
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