The multimodal protocols of perioperative care, as a European project ERAS-Enhanced Recovery After Surgery and, in Brazil, the ACERTO (Acceleration Total Post-Operative Recovery), emerged relevant alternatives to reduce preoperative discomforts, including anxiety, thirst, hunger, and enhance recovery surgical patients. These initiatives, supported by scientific evidence, advocate fasting abbrev...

UNLABELLED Endogenic hyperinsulinism is mainly caused by neuroendocrine tumors (insulinomas) which autonomously secrete insulin. Because the symptoms are often aspecific, a considerably delay in diagnosis occurs. The treatment consists of operative removal of the tumor from the pancreas, preceded by pre-operative localization. In this article we describe our experience with surgical removal of ...

BACKGROUND Intravenous fluid is recommended in international guidelines to improve patient post-operative symptoms, particularly nausea and vomiting. The optimum fluid regimen has not been established. This prospective, randomized, blinded study was designed to determine if administration of equivolumes of a colloid (hydroxyethyl starch 130/0.4) reduced post operative nausea and vomiting in hea...

background: pre-operative informed consent is an important aspect of surgery, yet there has been no formal training regarding it in pakistan. this study was done to assess the preoperative informed consent practice. methods: after taking informed permission, a questionnaire was filled in during an interview with 350 patients, who have undergone elective surgical procedures under routine practic...

background: observational studies, rather than randomized trials, revealed that statins might be associated with other benefits. objectives: the present study aimed at evaluating the preventive effects of lovastatin when used as a prophylactic agent for early and late infective complications after surgery. patients and methods: a total of 149 patients undergoing elective intracranial and spinal...

conclusions pregabalin administered as premedication provided significant postoperative pain relief and decreased the requirement of other parenteral analgesics. pregabalin doses of 150 mg had a better analgesic profile, but the advantages of their use may be limited by side effects such as dizziness. thus, it is concluded that pregabalin doses of 75 mg may be the optimal pre-emptive dose. back...

purpose: to report a case who had undergone lasik in his right eye and prk in the fellow eye for correction of equivalent myopia but developed progressive post-operative keratectasia only in the right eye. patient and findings: a 30-year-old man had undergone lasik in right eye 3 years ago for correction of refractive error of -1.75  -1.50@48° and prk in left eye 2 years ago for correction of r...