158Caudal epidural analgesia in pediatric infraumbilical abdominal surgery - safety and efficacy (a retrospective study of 9 years experience)

2006 ◽  
Vol 31 (5) ◽  
pp. 58-58
Author(s):  
N GAVRILOVA ◽  
R ANDONOVA ◽  
S KOTZEVA
Keyword(s):  
Retrospective Study ◽  
Abdominal Surgery ◽  
Epidural Analgesia ◽  
Safety And Efficacy

scholarly journals Perioperative use of serum creatinine and postoperative acute kidney injury: a single-centre, observational retrospective study to explore physicians’ perception and practice

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Gianluca Villa ◽  
Silvia De Rosa ◽  
Caterina Scirè Calabrisotto ◽  
Alessandro Nerini ◽  
Thomas Saitta ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Retrospective Study ◽  
High Risk ◽  
Abdominal Surgery ◽  
Serum Creatinine ◽  
Malignant Disease ◽  
Kidney Injury ◽  
Major Surgery ◽  
Single Centre

Abstract Background Postoperative acute kidney injury (PO-AKI) is a leading cause of short- and long-term morbidity and mortality, as well as progression to chronic kidney disease (CKD). The aim of this study was to explore the physicians’ attitude toward the use of perioperative serum creatinine (sCr) for the identification of patients at risk for PO-AKI and long-term CKD. We also evaluated the incidence and risk factors associated with PO-AKI and renal function deterioration in patients undergoing major surgery for malignant disease. Methods Adult oncological patients who underwent major abdominal surgery from November 2016 to February 2017 were considered for this single-centre, observational retrospective study. Routinely available sCr values were used to define AKI in the first three postoperative days. Long-term kidney dysfunction (LT-KDys) was defined as a reduction in the estimated glomerular filtration rate by more than 10 ml/min/m2 at 12 months postoperatively. A questionnaire was administered to 125 physicians caring for the enrolled patients to collect information on local attitudes regarding the use of sCr perioperatively and its relationship with PO-AKI. Results A total of 423 patients were observed. sCr was not available in 59 patients (13.9%); the remaining 364 (86.1%) had at least one sCr value measured to allow for detection of postoperative kidney impairment. Among these, PO-AKI was diagnosed in 8.2% of cases. Of the 334 patients who had a sCr result available at 12-month follow-up, 56 (16.8%) developed LT-KDys. Data on long-term kidney function were not available for 21% of patients. Interestingly, 33 of 423 patients (7.8%) did not have a sCr result available in the immediate postoperative period or long term. All the physicians who participated in the survey (83 out of 125) recognised that postoperative assessment of sCr is required after major oncological abdominal surgery, particularly in those patients at high risk for PO-AKI and LT-KDys. Conclusion PO-AKI after major surgery for malignant disease is common, but clinical practice of measuring sCr is variable. As a result, the exact incidence of PO-AKI and long-term renal prognosis are unclear, including in high-risk patients. Trial registration ClinicalTrials.gov, NCT04341974.

Non-traumatic emergency abdominal surgery in nonagenarian patients: a retrospective study

2021 ◽  
Author(s):  
Mattia Portinari ◽  
Lara Bianchi ◽  
Alessandro De Troia ◽  
Giorgia Valpiani ◽  
Savino Spadaro ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Abdominal Surgery ◽  
Emergency Abdominal Surgery

scholarly journals DOUBLE TRANSOBTURATOR APPROACH TO TREATING CYSTOCELE

2010 ◽  
Vol 22 (3) ◽  
pp. 17
Author(s):  
S. Bandiera ◽  
G. Raciti ◽  
A. Aloisi ◽  
M. Arena ◽  
R. Giordano ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Cure Rate ◽  
Anterior Vaginal Wall Prolapse ◽  
Safety And Efficacy ◽  
Vaginal Erosion ◽  
Lower Recurrence Rate ◽  
A New Technique

The aim of this study is to show the safety and efficacy of the double transobturator approach, a new technique for anterior vaginal wall prolapse, using several different kinds of meshes (synthetic and biological).This is a retrospective study of 74 women treated between 2005 and 2007. The patients underwent a 3, 6 and 12 month follow-up. The anatomical cure rate, defined as grade of prolapse <2, was 79.7%. Fifteen patients had a recurrence, 12 were treated with biological VS meshes and 3 were treated with synthetic meshes. Vaginal erosion was reported in 5 (6.7%) of these patients, two of whom were treated with topic estrogenic therapy, and three of whom with partial excision. These results suggest that this technique is safe and efficacious and that the best meshes to use are synthetic meshes, because they have a lower recurrence rate than biological meshes.

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