The recent discovery of the "Stress Repair Mechanism" (SRM) enables the Unified Theory of Medicine postulated by Hans Selye. It confers cohesive theories of anesthesia, analgesia, and allostasis that enable the alteration of anesthetic technique to optimize surgical outcome. The SRM continuously maintains and repairs the vertebrate body in accord with stressful forces and stimuli. Three synergi...

OBJECTIVE To provide an update on currently used minimally invasive surgical treatments for stress urinary incontinence in women: tension-free vaginal tape (TVT) procedure, transobturator tape (TOT) procedure, and other midurethral sling devices. OPTIONS The discussion is limited to minimally invasive surgical management of stress urinary incontinence in women. EVIDENCE A search of PubMed a...

normal 0 false false false en-us x-none ar-sa background: the aim of this study is to evaluate the outcome of an innovative, minimally invasive sling technique with autologous tissue in women with concomitant incontinence and anterior vaginal wall prolapse (avwp). materials and methods: fifty-six women with stress urinary incontinence (sui) or mixed urinary incontinence and avwp were randomly a...

A number of animal models have been developed to examine the pathophysiological consequences of surgical procedures, but anesthetic methods, monitoring, and management measures in these models are very different from those used in humans. This study was designed to create a rat model of abdominal surgery using anesthetic methods and perioperative treatment similar to those used in the clinic an...

OBJECTIVES We sought to determine whether the stringent stress test criteria for crossover to cardiac catheterization in the conservative arm of the Fast Revascularization During Instability in Coronary Artery Disease (FRISC-II) trial subjected this strategy to a disadvantage by failing to identify patients with surgical coronary artery disease (CAD). BACKGROUND In FRISC-II, an invasive strat...

Introduction: the Restoration of endodontically treated teeth is critical, and the Awareness of stresses developed by oblique and vertical forces in restorative methods take a great role in treatment plans. Due to the anatomical shape and inherent form of the stress distribution premolars, could be lost by fractures. Some fractures such as vertical fracture which is probable in...

Stress and surgery have been suggested to compromise host resistance to infectious and malignant diseases in experimental and clinical settings. Because stress affects numerous physiological systems, the role of the immune system in mediating such effects is unclear. In the current study, we assessed the degree to which stress-induced alterations in natural killer (NK) cell activity underlie in...

Psychological stress has been shown to impair wound healing, but experimental research in surgical patients is lacking. This study investigated whether a brief psychological intervention could reduce stress and improve wound healing in surgical patients. This randomised controlled trial was conducted at a surgical centre. Inclusion criteria were English-speaking patients over 18 years booked to...

I read the recent article by Gruber et al. (1) with interest. The authors concluded that large dose fentanyl did not eliminate a stress response to cardiac surgery using deep hypothermic cardiopulmonary bypass (DHCPB) in infants. These results have further caused doubt of the value of blunting the stress response during DHCPB. The literature on surgical stress responses suggests the following:

ABSTRACT Objective: to identify and analyze the social representations their dimensions about peripheral venous catheterization its maintenance for anesthetic-surgical purposes in women undergoing cesarean section. Method: qualitative study of exploratory-descriptive type grounded by Theory Social Representations with participation 120 carried out a public hospital state Minas Gerais - Brazil, ...