AbstractEnhanced Recovery After Surgery (ERAS) is a global initiative comprised of a series of evidence-based interventions in the preoperative, intraoperative, and postoperative surgical phases. When implemented as a bundle, ERAS interventions both improve clinical outcomes and provide cost savings to the health care system. This review provides an update on the current evidence for individual ERAS elements to improve quality of care as well as practical recommendations for multidisciplinary teams to implement their own ERAS programs.
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http://dx.doi.org/10.1056/EVIDra2400012 | DOI Listing |
J Neuroinflammation
March 2025
Jiangxi Key Laboratory of Neurological Diseases, Department of Neurosurgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Clinical studies have revealed a bidirectional relationship between glioma and ischemic stroke, with evidence of spatial overlap between the two conditions. This connection arises from significant similarities in their pathological processes, including the regulation of cellular metabolism, inflammation, coagulation, hypoxia, angiogenesis, and neural repair, all of which involve common biological factors. A significant shared feature of both diseases is the crucial role of extracellular vesicles (EVs) in mediating intercellular communication.
View Article and Find Full Text PDFBMC Anesthesiol
March 2025
Anesthesia and Surgery Center, Ziyang Central Hospital, No. 66, Rende West Road, Yanjiang District, Ziyang City, Sichuan Province, 641300, China.
Background: General anesthesia (GA) combined with regional anesthesia (RA) is commonly used to enhance perioperative analgesia and hemodynamic stability. This study aimed to compare the hemodynamic effects and postoperative cognitive function between remimazolam tosylate and propofol in patients undergoing GA combined with RA.
Methods: A retrospective cohort study was conducted on 4408 patients who underwent elective upper or lower limb surgeries at our institution from January 2020 to June 2024.
J Arthroplasty
March 2025
Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, New York, NY, USA; Canary Medical USA LLC, 2710 Loker Ave, West, Suite 350, Carlsbad, CA, USA. Electronic address:
Background: Bilateral knee osteoarthritis is often treated with staged bilateral total knee arthroplasty (BTKA). However, the optimal surgical timing for staging remains contended. In this study, a smart implant sensor was used to assess the association between surgical timing of stages and recovery of ambulation after the second total knee arthroplasty (TKA).
View Article and Find Full Text PDFFr J Urol
March 2025
Service d'urologie, CHU Angers, Angers, France.
Introduction: Benign prostatic hyperplasia (BPH) is a prevalent condition in ageing men, often resulting in significant lower urinary tract symptoms (LUTS) that impact quality of life. For patients with huge prostate volumes (>150 mL), surgical management presents challenges. Traditionally, open simple prostatectomy (OSP) was the gold standard; however, minimally invasive approaches such as robotic-assisted simple prostatectomy (RASP) and endoscopic enucleation of the prostate (EEP), especially holmium laser enucleation of the prostate (HoLEP), offer similar or superior outcomes with reduced morbidity.
View Article and Find Full Text PDFInt J Cardiol
March 2025
Department of Medicine, Surgery and Dentistry, University of Salerno, 84084 Fisciano, Italy. Electronic address:
The benefits of cardiac rehabilitation (CR) have been demonstrated in patients after myocardial infarction (MI), and in patients with chronic heart failure (HF). The core components of the CR program include improvement in exercise tolerance and optimization of coronary risk factors (i.e.
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