Objectives. To investigate the efficacy and safety of perioperative endocrine therapy (PET) for patients with Cushing's syndrome (CS) undergoing retroperitoneal laparoscopic adrenalectomy (RLA). Methods. The novel, simplified PET modality of 82 patients who underwent RLA procedures for CS were studied. Clinical manifestations were observed for all patients on days 1 and 5 postoperatively, and c...

Most anesthesiologists will experience the perioperative death of a patient or a major perioperative catastrophe in the course of their careers. Anesthesia training, however, does not prepare individuals to handle the aftermath of such a stressful event. Multiple surveys have shown that the death of a patient has a major emotional impact on up to 75% of health care providers involved, regardles...

BACKGROUND AND PURPOSE Perioperative stroke is a significant complication of transcatheter aortic valve implantation (TAVI). This study aimed to quantify perioperative stroke as an independent risk factor for in-hospital mortality and postoperative morbidity in patients receiving TAVI. METHODS A retrospective cohort study was conducted using the National Inpatient Sample. Patients undergoing ...

BACKGROUND An increased perioperative complication rate has been a concern with one-stage bilateral total knee arthroplasty (TKA). The purpose of this study was to retrospectively investigate the perioperative safety and clinical results of one-stage bilateral TKA in selected low-risk patients. METHODS Sixty-seven patients who received one-stage bilateral TKAs for osteoarthritis who were Amer...

BackgroundMyocardial infarction is the most common postoperative major vascular complication. Perioperative anaemia may contribute to cardiac supply–demand mismatch, and therefore myocardial injury. We tested hypothesis that lowest in-hospital haemoglobin concentration associated with a composite of non-fatal all-cause mortality within first 30 days after noncardiac surgery.MethodsWe conducted ...

acute fulminant myocarditis is a life-threatening inflammatory disease of the myocardium characterized by the rapid deterioration of the hemodynamic status of the affected individual. with prompt recognition and appropriate management, complete recovery of ventricular function is likely within a few weeks. we introduce a 28-year-old man with acute fulminant myocarditis, who experienced circulat...

OBJECTIVE To review surgical outcomes in the management of advanced mandibular osteoradionecrosis (ORN) with aggressive debridement and microvascular reconstruction. DESIGN Retrospective cohort study. SETTING Tertiary care referral center. PATIENTS Thirty patients with Marx stage III ORN of the mandible who underwent debridement with microvascular reconstruction. Two types of patients wit...

OBJECTIVES Several studies have shown the beneficial role of statins in reducing the risk of major perioperative complications and death associated with noncardiac vascular surgery, but few have focused on their effects in the event of carotid endarterectomy (CEA). This study analyzes the effects of preoperative statin use on perioperative outcomes in patients undergoing CEA. MATERIALS AND ME...

OBJECTIVE To determine the frequency and severity of complications that occur as a result of uterine artery embolization for leiomyomas. METHODS As part of an ongoing study of outcome after uterine embolization, prospective data regarding complications that occurred in 400 consecutive patients were gathered. Each patient had a minimum of a 3-month interval from the procedure at the time of an...

Perioperative acute lung injury (ALI) is a syndrome characterised by hypoxia and chest radiograph changes. It is a serious post-operative complication, associated with considerable mortality and morbidity. In addition to mechanical ventilation, remote organ insult could also trigger systemic responses which induce ALI. Currently, there are limited treatment options available beyond conservative...