Preoperative use of aspirin in coronary artery bypass graft surgery (CABG) might rely more on surgeon’s preference rather than evidence-based approach. Conflicting guidelines and lack reliable recommendations make ambiguous the preoperative administration before elective CABG. This study was conducted to compare outcome with or without patients undergoing surgery. The aim Randomized controlled ...

Although the science of identifying patients who are at highest risk for perioperative cardiac events (e.g., myocardial infarction [MI], unstable angina, congestive heart failure, and cardiac death) is well developed, the evidence to support how best to care for high-risk patients was, until recently, scanty and conflicting.1,2 The emergence of a literature supporting the efficacy and effective...

Hip fracture is a devastating condition that occurs out of the blue, most commonly in frail older people with multiple pre-existing medical conditions. It has a high mortality, and often results in long-term disability and dependence. Improving outcomes requires organised care and attention to many details [1], one of which is the recognition and management of concomitant cardiovascular disease...

INTRODUCTION The risk of developing conduction disturbances after coronary bypass grafting (CABG) or valvular surgery has been well established in previous studies, leading to permanent pacemaker implantation in about 2% to 3% of patients, and in 10% of patients undergoing repeat cardiac surgery. We sought to determine the incidence, features and predictors of conduction disorders in the immedi...

STUDY DESIGN Prospective study. PURPOSE To compare clinical and radiological outcomes of open vs. minimally invasive transforaminal lumbar interbody fusion (MI-TLIF). OVERVIEW OF LITERATURE MI-TLIF promises smaller incisions and less soft tissue dissection resulting in lower morbidity and faster recovery; however, it is technically challenging. METHODS Twenty-five patients with MI-TLIF we...

PURPOSE The purpose of this study was to report our approach of partial nephrectomy (PN) using a supra-12th rib mini-flank incision. We compared mini-incision open partial nephrectomy (MI-OPN) with open partial nephrectomy (OPN) and laparoscopic partial nephrectomy (LPN) to verify whether MI-OPN can be an alternative to OPN and LPN. METHODS This was a retrospective single-center study includi...

Ventricular arrhythmias in the setting of a healed myocardial infarction have been studied to a much lesser degree than acute and subacute infarction, due to the pericardial scarring, which results from the traditional open-chest techniques used for myocardial infarction (MI) induction. We sought to develop a segmental MI with low perioperative mortality in the rabbit that allows optimal visual...

background: statins (3-hydroxy-3-methylglutarylcoenzyme-a (hmg-coa) reductase inhibitors) decrease cardiovascular mortality and morbidity. this article reviews the role of perioperative statins in non cardiac surgery. methods: a literature review was done on all english published articles till february 2015 about this subject using pubmed. then the reference list of relevant articles was review...

PURPOSE It remains controversial whether mini-incision (MI) benefits patients in total hip arthroplasty (THA). We performed a meta-analysis of randomized controlled trials (RCTs) to assess the effects of MI on surgical and functional outcomes in THA patients. METHODS A systematic electronic literature search (up to May 2013) was conducted to identify RCTs comparing MI with standard incision (...

This article explores approaches to the perioperative care of pregnant women. Considerations such as the anatomical and physiological changes that occur during pregnancy are addressed, as well as adaptations to perioperative care made necessary by these changes. The potential limitations, constraints and difficulties faced when planning and implementing care are discussed. Social, psychological...