scholarly journals Effects of Pneumoperitoneum on Splanchnic Oxygenation during Abdominal Laparoscopic Surgery in Paediatric Patients: A prospective, Observational Study

2020 ◽  
Author(s):  
Leyla Kilinc ◽  
◽  
Hacer Sebnem Turk ◽  
Pinar Sayin ◽  
Surhan Cinar ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Paediatric Patients ◽  
Splanchnic Oxygenation

scholarly journals Predictors of catheter-related bladder discomfort after gynaecological surgery

2019 ◽  
Author(s):  
Shuying Li ◽  
Liping Song ◽  
Yushan Ma ◽  
Xuemei Lin
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Urinary Catheterization ◽  
Gynaecological Surgery ◽  
High Age ◽  
Very High

Abstract Background: Urinary catheterization is universally used during surgery, and the incidence of postoperative catheter-related bladder discomfort (CRBD) is very high during recovery. We conducted this study to identify the incidence and predictors of postoperative CRBD after gynaecological surgery in the post-anesthesia care unit (PACU). Methods: This was a prospective observational study. Patients undergoing gynaecological surgery under general anesthesia with intra-operative urinary catheterization were enrolled. We collected the clinical data, incidence and severity of CRBD, and postoperative pain for the patients. Predictive factors of CRBD were analysed by univariate and multivariate analysis. Results: A total of 407 patients were included in this study. The incidence of CRBD after gynaecological surgery was 64.6% (mild CRBD: 22.8%; moderate CRBD: 34.2%; and severe CRBD: 7.6%). Univariate analysis showed that age, type of surgery, type of laparoscopic surgery, additional analgesics, and postoperative pain were influencing factors for CRBD. Based on multivariate logistic regression analysis, age ≥50 years, uterus-related laparoscopic surgery, and lack of additional analgesics were independent predictors of moderate or severe CRBD. Conclusions: This observational study revealed that the incidence of CRBD after gynaecological surgery in PACU was very high. Age ≥50 years, uterus-related laparoscopic surgery, and lack of additional analgesics were independent predictors of CRBD.

scholarly journals Predictors of catheter-related bladder discomfort after gynaecological surgery

2019 ◽  
Author(s):  
Shuying Li ◽  
Liping Song ◽  
Yushan Ma ◽  
Xuemei Lin
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Urinary Catheterization ◽  
Gynaecological Surgery ◽  
Very High ◽  
Drug Prophylaxis

Abstract Background: Urinary catheterization is universally used during surgery, and the incidence of postoperative catheter-related bladder discomfort (CRBD) is very high during recovery. We conducted this study to identify the incidence and predictors of postoperative CRBD after gynaecological surgery in the post-anesthesia care unit (PACU). Methods: This was a prospective observational study. Patients undergoing gynaecological surgery under general anesthesia with intra-operative urinary catheterization were enrolled. We collected the clinical data, incidence and severity of CRBD, and postoperative pain for the patients. Predictive factors of CRBD were analysed by univariate and multivariate analysis. Results: A total of 407 patients were included in this study. The incidence of CRBD after gynaecological surgery was 64.6% (mild CRBD: 22.8%; moderate CRBD: 34.2%; and severe CRBD: 7.6%). Univariate analysis showed that age, type of surgery, type of laparoscopic surgery, additional analgesics, and postoperative pain were influencing factors for CRBD. Based on multivariate logistic regression analysis, age ≥50 years, uterus-related laparoscopic surgery, and lack of additional analgesics were independent predictors of moderate or severe CRBD. Conclusions: This observational study revealed that the incidence of CRBD after gynaecological surgery in PACU was very high and it was a very distressing experience for patients. We suggested that drug prophylaxis should be used to the patients with high risk of CRBD in gynaecological surgery.

scholarly journals Predictors of catheter-related bladder discomfort after gynaecological surgery

2019 ◽  
Author(s):  
Shuying Li ◽  
Liping Song ◽  
Yushan Ma ◽  
Xuemei Lin
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Urinary Catheterization ◽  
Gynaecological Surgery ◽  
Very High ◽  
Drug Prophylaxis

Abstract Background: Urinary catheterization is universally used during surgery, and the incidence of postoperative catheter-related bladder discomfort (CRBD) is very high during recovery. We conducted this study to identify the incidence and predictors of postoperative CRBD after gynaecological surgery in the post-anesthesia care unit (PACU). Methods: This was a prospective observational study. Patients undergoing gynaecological surgery under general anesthesia with intra-operative urinary catheterization were enrolled. We collected the clinical data, incidence and severity of CRBD, and postoperative pain for the patients. Predictive factors of CRBD were analysed by univariate and multivariate analysis. Results: A total of 407 patients were included in this study. The incidence of CRBD after gynaecological surgery was 64.6% (mild CRBD: 22.8%; moderate CRBD: 34.2%; and severe CRBD: 7.6%). Univariate analysis showed that age, type of surgery, type of laparoscopic surgery, additional analgesics, and postoperative pain were influencing factors for CRBD. Based on multivariate logistic regression analysis, age ≥50 years, uterus-related laparoscopic surgery, and lack of additional analgesics were independent predictors of moderate or severe CRBD. Conclusions: This observational study revealed that the incidence of CRBD after gynaecological surgery in PACU was very high and it was a very distressing experience for patients. We suggested that drug prophylaxis should be used to the patients with high risk of CRBD in gynaecological surgery.

scholarly journals Wound infection in colorectal cancer resections through a laparoscopic approach: a single-center prospective observational study of over 3000 cases

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Atsushi Ikeda ◽  
Yosuke Fukunaga ◽  
Takashi Akiyoshi ◽  
Satoshi Nagayama ◽  
Toshiya Nagasaki ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Laparoscopic Surgery ◽  
Observational Study ◽  
Wound Infection ◽  
Prospective Observational Study ◽  
Rectal Surgery ◽  
Colonic Surgery ◽  
Laparoscopic Rectal Surgery ◽  
Independent Risk Factors

Abstract Objectives This prospective observational study aimed to clarify the incidence and independent risk factors of wound infection after laparoscopic surgery for primary colonic and rectal cancer. Methods A prospective surveillance of surgical site infection (SSI) was conducted in consecutive patients with primary colorectal cancer, who underwent elective laparoscopic surgery in a single comprehensive cancer center between 2005 and 2014. The outcomes of interest were the incidence and risk factors of wound infection. Results In total, 3170 patients were enrolled in the study. The overall incidence of wound infection was 3.0%. The incidence of wound infection was significantly higher in rectal surgery than in colonic surgery (4.7 vs. 2.1%, p < 0.001). In rectal surgery, independent risk factors for developing wound infection included abdominoperineal resection (p < 0.001, odds ratio [OR] = 11.4, 95% confidence interval [CI]: 5.04–24.8), body mass index (BMI) ≥ 25 kg/m2 (p = 0.041, OR = 1.97, 95% CI, 1.03–3.76), and chemoradiotherapy (p = 0.032, OR = 2.18, 95% CI, 1.07–4.45). In laparoscopic colonic surgery, no significant risk factors were identified. Conclusions Laparoscopic rectal surgery has a higher risk of wound infection than colonic surgery. Laparoscopic rectal surgery involving abdominoperineal resection, patients with higher BMI, and chemoradiotherapy requires careful observation in wound care and countermeasures against wound infection.

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