Adrenalectomy for pheochromocytoma is reported with a mortality close to zero in recent studies. The dogma of preoperative fluid and hypotensive drug administrations is widely applied in patients scheduled for pheochromocytoma removal and is assumed to have a beneficial effect on operative outcomes. This paradigm is only based on historical studies of non-standardized practices and criteria for...

INTRODUCTION Surgical services are increasingly seen to reduce death and disability in Sub-Saharan Africa, where hospital-based mortality remains alarmingly high. This study explores two implementation approaches to improve the quality of perioperative care in a Tanzanian hospital. Effects were compared to a control group of two other hospitals in the region without intervention. METHODS All ...

Chronic postsurgical pain (CPSP) is 1 important aspect of surgical recovery. To improve perioperative care and postoperative recovery knowledge on predictors of impaired recovery is essential. The aim of this study is to assess predictors and epidemiological data of CPSP, physical functioning (SF-36PF, 0-100), and global surgical recovery (global surgical recovery index, 0-100%) 3 and 12 months...

Background: The purpose of this study was to evaluate the value of perioperative tests for the diagnosis of infectionin revision shoulder arthroplasty.Methods: A retrospective analysis was performed on 537 shoulder arthroplasties (429 patients) that underwent revisionshoulder arthroplasty at our institution. Periprosthetic tissue cultures were positive in 169/537 surgeries.Results: White-blood ...

background craniosynostosis results from premature closure of one or more cranial sutures, leading to deformed calvaria and craniofacial skeleton at birth. postoperative complications and outcome in intensive care unit (icu) is related to surgical method and perioperative management. this study determined the perioperative risk factors, which affect outcome of patients after craniosynostosis su...

background: postoperative cognitive dysfunction (pocd) has been an important complication of cardiac surgery over the years. neurocognitive dysfunction can affect quality of life and lead to social, functional, emotional, and financial problems in the patient’s life. to reduce pocd, we sought to identify the association between cognitive dysfunction and perioperative factors in patients undergo...

Background: Although it has been shown that perioperative protocols enhance arthroplasty care and safety, it isnot known how prevalent their use is in safety net hospitals, which operate with a mandate to treat the poor andunderserved. Understanding the elements currently included in standard perioperative arthroplasty protocols at variousinstitutions may help guide future interventions and pol...

The perioperative imaging of a pregnant woman presents a unique challenge to orthopaedics surgeon as concern about the radiation risk to the embryo or fetus. This article highlights effect of radiation exposure on foetus.I would like to discuss about the amount of radiation exposure in a pregnant woman during fluoroscopic guided closed femoral Interlock nailing as radiation has significant...

Surgery in the patient with diabetes mellitus is relatively common, as the numbers of persons with diabetes is increasing and diabetes predisposes to medical conditions that require surgical intervention. An estimated 25% of diabetic patients will require surgery, and advances in perioperative care of these patients allow them to safely undergo the most complicated surgical procedures. We will ...