Rhode Island ranks sixth nationally in the percentage of elderly residents, with over 14.5% of the population over age 65;1 and the over 85 age group is the fastest growing portion of the population. Not surprisingly, the demand for healthcare services, including surgical interventions, will increase in the elder population. Surgical procedures no longer have age restrictions, as the demand for...

PURPOSE This study compared the effects of robotic single-port cholecystectomy (RC) and 3-port laparoscopic cholecystectomy (LC) on patients' surgical pain, postoperative complications, and satisfaction. METHODS One hundred twenty patients with gallbladder disease scheduled for either LC or RC were recruited. Each patient was followed up for 1 week after hospital discharge. RESULTS Time sta...

EVIDENCE DEFINITIONS • Class I: Prospective randomized controlled trial. • Class II: Prospective clinical study or retrospective analysis of reliable data. Includes observational, cohort, prevalence, or case control studies. • Class III: Retrospective study. Includes database or registry reviews, large series of case reports, expert opinion. • Technology assessment: A technology study which doe...

Objectives: Many orthopedic surgeons experience work-related injury and musculoskeletal symptoms. The culture of orthopedics lends itself to trainees operating through such injuries, which may jeopardize the health impact their ability provide exemplary patient care. objective this study was present a comprehensive synthesis literature pertaining occupational injuries among surgeons, with parti...

Chronic pancreatitis (CP) is a benign inflammatory process of the pancreas. Progression of this disease results in structural changes with replacement of functional exocrine and endocrine parenchyma by a fibrotic and inflammatory tissue, often evident as an inflammatory mass. The consequences are diabetes mellitus, exocrine insufficiency, and severe recurrent upper abdominal pain, often resulti...

Within the figure of more than 200,000 surgical amputations performed in the United States each year lies another--70% of patients experience phantom limb pain after the procedure, and 50% still experience phantom pain 5 years after surgery. Patients describe burning, stabbing, twisting, cramping, or throbbing pains in the missing part. Adding to the patient's and the anesthesia professional's ...

BACKGROUND Human and animal laboratory studies have shown that stress delays healing of standardized punch biopsy wounds. PURPOSE This 5-week prospective study of 17 women who underwent elective gastric bypass surgery addressed the association between postsurgical pain intensity and subsequent healing of a standard 2.0-mm punch biopsy wound. METHODS Participants were assessed 1 week before ...

EVIDENCE DEFINITIONS • Class I: Prospective randomized controlled trial. • Class II: Prospective clinical study or retrospective analysis of reliable data. Includes observational, cohort, prevalence, or case control studies. • Class III: Retrospective study. Includes database or registry reviews, large series of case reports, expert opinion. • Technology assessment: A technology study which doe...

Low back pain (LBP) is a worldwide phenomenon. The UK studies place LBP as the largest single cause of absence from work; up to 80% of the population will experience LBP at least once in their lifetime. Most individuals do not seek medical care and are not disabled by their pain once it is managed by nonoperative measures. However, around 10% of patients go on to develop chronic pain. This revi...

introduction : for many years surgical incisions were done by scalpel. nowadays this method has been replaced with electrocautery.each of these methods has their disadvantages and benefits. the purpose of this study is to compare these two methods in midline laparotomy surgeries. methods :  from 2012 until 2013, one hundred patients enter the study, underwent midline laparotomy and were divided...