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Is there still a place for etomidate in the management of Cushing's syndrome? The experience of a single center of low-dose etomidate and combined etomidate-osilodrostat treatment in severe hypercortisolemia.
Endocrine
December 2024
Department of Internal Medicine, Endocrinology and Diabetes, Medical University of Warsaw, Warsaw, Poland.
Purpose: Severe Cushing's syndrome (SCS) is a life-threatening endocrine condition that requires prompt medical intervention. Intravenous etomidate infusion is considered to be the most effective in rapid cortisol overproduction inhibition. This single-center retrospective study aimed to present the safety and effectiveness of intravenous, low-dose, lipid-formulated etomidate infusion in patients with SCS.
View Article and Find Full Text PDFSurgical outcomes from robotic-assisted adrenalectomy: a case series on experience in a large tertiary referral centre.
Surg Endosc
November 2024
Endocrine and General Surgery Department, Royal Victoria Infirmary, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.
Background: Robotic-assisted surgery is gaining wider acceptance in most surgical specialties. However, in the United Kingdom, endocrine surgery has not fully adopted robotics. This paper aims to present the early experience and outcomes of patients who underwent robotic-assisted adrenalectomy at a tertiary referral endocrine surgery department.
View Article and Find Full Text PDFA case report of troubleshooting against bleeding from inferior vena cava injury.
IJU Case Rep
November 2024
Department of Urology, Faculty of Medicine Oita University Yufu-city Oita Japan.
Article Synopsis
- * Traditional methods to stop the bleeding, like using a fibrinogen-thrombin patch and suturing, were challenging due to visibility issues caused by the blood.
- * A gelatin-thrombin matrix was successfully used to control the bleeding, enabling the surgery to continue without needing to switch to an open procedure.
Circulatory characteristics of early mobilization after surgery for bilateral pheochromocytoma: a case report.
J Med Case Rep
October 2024
Department of Rehabilitation Medicine, Hiroshima University Hospital, 1-2-3 Kasumi, Minami, Hiroshima, 734-8551, Japan.
Background: Surgical treatment of pheochromocytomas is associated with circulatory dynamics instability, necessitating systemic management of the patient in the intensive care unit after surgery. Early mobilization after pheochromocytoma surgery is not described in the guidelines, and to our knowledge, no reports have specifically focused on circulatory dynamics during early mobilization after surgery.
Case Presentation: A 31-year-old Japanese woman was diagnosed with bilateral pheochromocytoma and underwent a second-stage adrenalectomy for bilateral pheochromocytoma at our hospital.
Preoperative 3D Planning and Intraoperative Navigation in Robot-Assisted Laparoscopic Surgery for Complex Pheochromocytoma.
J Coll Physicians Surg Pak
October 2024
Department of Urology, The Affiliated Hospital of Hebei University, Heibei, China.
Article Synopsis
- The study evaluated the benefits of using preoperative 3D planning and intraoperative navigation in robot-assisted laparoscopic surgery for complex pheochromocytoma, comparing it to traditional methods.
- Results showed that the group using advanced techniques had shorter operation times, less blood loss, and fewer complications than the traditional group.
- The findings suggest that robot-assisted surgery is safe and effective, leading to quicker recovery and lower recurrence rates for patients with complex pheochromocytoma.
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