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| http://dx.doi.org/10.1136/pgmj.42.494.765 | DOI Listing |
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Introduction: A chest X-ray (CXR) is the most common imaging investigation performed worldwide. Advances in machine learning and computer vision technologies have led to the development of several artificial intelligence (AI) tools to detect abnormalities on CXRs, which may expand diagnostic support to a wider field of health professionals. There is a paucity of evidence on the impact of AI algorithms in assisting healthcare professionals (other than radiologists) who regularly review CXR images in their daily practice.
View Article and Find Full Text PDFObjective: In laparoscopic surgery, initial entry into the abdomen becomes more risky in patients with a history of abdominal surgery. In such cases, initial entry is usually performed with a Veress needle via Palmer's point (PP). However, it is associated with an increased failure rate, especially in obese patients.
View Article and Find Full Text PDFComparative outcomes of Palmer, Umbilical Veress needle, and open entry techniques in robotic-assisted surgery: a propensity-matched analysis of 9482 patients.
J Robot Surg
January 2025
Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, 1425 Madison Ave, New York, USA.
Robotic-assisted surgery offers several advantages over traditional methods, such as reduced blood loss and fewer complications. Establishing pneumoperitoneum is a critical step, with two primary techniques: the Veress needle (closed) and the Hasson (open) technique. Despite extensive studies in laparoscopic surgery, limited data exist regarding their use in robotic surgery.
View Article and Find Full Text PDFPurpose: To compare the indicators, postoperative pneumoretroperitoneum-related complications, and postoperative recovery of laparoscopic preperitoneal inguinal hernia repair under different CO2 pneumoperitoneum pressures.
Methods: The total of 187 adult patients with primary inguinal hernia who successfully underwent transabdominal preperitoneal prosthesis (TAPP) from September 2021 to September 2023 in the Department of General Surgery, Haimen People's Hospital affiliated to Nantong University, were collected. These patients were randomly divided into low abdominal pressure group (group A: pneumoperitoneum pressure = 8 mmHg), sub-low abdominal pressure group (group B: pneumoperitoneum pressure = 10 mmHg), moderate abdominal pressure group (group C: pneumoperitoneum pressure = 12 mmHg), and standard pressure group (group D: pneumoperitoneum pressure = 14 mmHg), with 40 patients each.
Impact of abdominal compliance on surgical stress and postoperative recovery in laparoscopic groin hernia repair: a retrospective cohort study.
Hernia
December 2024
Department of Surgery, Yamatotakada Municipal Hospital, 1-1 Isono Kitamachi, Yamatotakada, Nara, Japan.
Article Synopsis
- This study investigated how the elasticity of abdominal walls affects surgical stress during laparoscopic groin hernia repairs through a retrospective analysis of 51 patients.
- Researchers measured abdominal compliance using the abdominal compliance index (ACI) and linked this to patient-reported outcomes regarding stress and recovery post-surgery.
- Results showed that patients with higher ACI (indicating more stretch) experienced lower quality of recovery scores and suggested that adjusting pneumoperitoneum pressure based on abdominal compliance could help reduce surgical stress.
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