scholarly journals Transient aphasia following general anesthesia in patient undergoing laparoscopic gynecologic surgery: A case report and literature review

2020 ◽  
Author(s):  
Junbao Zhang ◽  
Manping Yang ◽  
Hailong Dong ◽  
Zhihong Lu
2018 ◽  
Vol 09 (01) ◽  
Author(s):  
Haiming Shi ◽  
Haifeng Su ◽  
Jie Shen ◽  
Cheng Zhu ◽  
Zhengkun Huang

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1255
Author(s):  
Cheol Lee ◽  
SeongNam Park ◽  
ByoungRyun Kim ◽  
Hyeonbin Yim ◽  
Myeongjong Lee ◽  
...  

Background and Objectives: Female reproductive hormones may affect core body temperature. This study aimed to investigate the effects of female reproductive hormones on inadvertent intraoperative hypothermia in patients who underwent laparoscopic gynecologic surgery under general anesthesia. Materials and Methods: This retrospective study included 660 menstruating and menopausal female patients aged 19–65 years. The patients were divided into two groups according to the occurrence of inadvertent intraoperative hypothermia: non-hypothermia group (N = 472) and hypothermia group (N = 188). After propensity score matching, 312 patients (N = 156 in each group) were analyzed to investigate the association between intraoperative hypothermia and female reproductive hormones. As potential predictors of inadvertent hypothermia, the levels of female reproductive hormones were analyzed using binary logistic regression. Results: The association of estradiol (r = −0.218, p = 0.000) and progesterone (r = −0.235, p = 0.000) levels with inadvertent intraoperative hypothermia was significant but weakly negative before matching; however, it was significant and moderately negative after matching (r = −0.326, p = 0.000 and r = −0.485, p = 0.000, respectively). In a binary logistic analysis, the odds ratio for estradiol was 0.995 (p = 0.014, 0.993 < 95% confidence interval [CI] < 0.998) before matching and 0.993 (p = 0.000, 0.862 < 95% CI < 0.930) after matching, and that for progesterone was 0.895 (p = 0.000, 0.862 < 95% CI < 0.930) before matching and 0.833 (p = 0.014, 0.990 < 95% CI < 0.996) after matching. Conclusions: Estradiol and progesterone levels were associated with inadvertent intraoperative hypothermia. However, the odds ratio for female reproductive hormone levels was close to 1. Therefore, female reproductive hormones may not be a risk factor for hypothermia during gynecologic surgery under general anesthesia. However, a small sample size in this study limits the generalizability of the results.


2017 ◽  
Vol 173 (4) ◽  
pp. 234-236 ◽  
Author(s):  
C. Dondé ◽  
L. Peter-Derex ◽  
F. Pitance ◽  
E. Cotte ◽  
P.-M. Gonnaud ◽  
...  

2021 ◽  
Author(s):  
Yi Liu ◽  
Jingyu Wang ◽  
Yong Wan ◽  
Yuan Geng ◽  
Yiran Zhang ◽  
...  

Abstract BackgroundAtelectasis is a major cause of hypoxemia during general anesthesia and postoperative pulmonary complications (PPCs).Some previous reported that the combined use of lung recruitment procedures (LRMs) and positive end-expiratory pressure (PEEP) in mechanical ventilation mode contributes to the avoidance of PPCs in patients after general anesthesia, while others suggest that the use of LRMs makes patients more susceptible to hemodynamic disturbances and lung injury, and is of limited potential to decrease the incidence of PPCs. From this perspective, controversy exists as to whether LRMs should be routinely applied to surgical patients. More importantly, corresponding clinical studies are also lacking. Therefore, this trial was conducted with the aim of solving the above problem.MethodsIn current clinical trial, patients undergoing laparoscopic gynecologic surgery with healthy lungs were randomized to the recruitment maneuvers group (RM group; 6 cm H2O PEEP and RMs) and the control group (C group; 6 cm H2O PEEP and no RMs). Lung ultrasound was performed on patients at five separate time points. During mechanical ventilation, patients in the RM group received ultrasound-guided pulmonary resuscitation when atelectasis was detected, while the C group did not intervene. Lung ultrasound scores were used to evaluate the incidence and severity of atelectasis.ResultsAfter LRMs, the incidence of atelectasis was significantly lower in the RM group (40%) than in the C group (80%) 15 minutes after arrival in the post-anesthesia care unit (PACU), and this difference did not persist for 24 hours after surgery. Meanwhile, postoperative pulmonary complications showed no difference between the two groups.ConclusionsThe combination of LRMs and PEEP decreased the incidence of atelectasis 15 minutes after admission to the PACU, but did not improve PPCs in adults with healthy lungs. Hence, for lung-healthy patients undergoing gynecological laparoscopic surgery, we do not recommend routine recruitment maneuvers. Trial registration: (prospectively registered): ChiCTR2000033529. Registered on 6/4/2020.


2015 ◽  
Vol 30 (2) ◽  
pp. 450-454
Author(s):  
Toshiyuki Seki ◽  
Kazu Ueda ◽  
Hitoshi Matsui ◽  
Keiko Nakajima ◽  
Youko Nagayoshi ◽  
...  

2020 ◽  
Vol 8 (12) ◽  
pp. 3337-3339
Author(s):  
Yassine Mellagui ◽  
Mohammed Aabdi ◽  
Jamal Ouachaou ◽  
Houssam Bkiyar ◽  
Brahim Housni

2019 ◽  
Vol 39 (6) ◽  
pp. 289
Author(s):  
Zhi-Fu Wu ◽  
Tsai-Shan Wu ◽  
Wei-Cheng Tseng ◽  
Hou-Chuan Lai ◽  
Yi-Hsuan Huang ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Hirohumi Yamanaka ◽  
Satoko Takeuchi ◽  
Nao Kirigaya ◽  
Akihito Kato ◽  
Satoshi Kaseki ◽  
...  

Ureterocolic fistula is a rare phenomenon and cases secondary to diverticulitis are even rarer. We present a case of ureterocolic fistula secondary to diverticulitis of the sigmoid colon following laparoscopic salpingo-oophorectomy due to endometriomas. To our knowledge, this is the first case that occurred in a patient with gynecologic surgery.


2011 ◽  
Vol 47 (6) ◽  
pp. 436-442 ◽  
Author(s):  
Chiara Adami ◽  
Stefano Di Palma ◽  
Karine Gendron ◽  
Nadja Sigrist

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