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Добірка наукової літератури з теми "Operative surgery"

Автор: Grafiati

Опубліковано: 4 червня 2021

Оновлено: 30 липня 2024

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Статті в журналах з теми "Operative surgery"

1

BLOCK, GEORGE E. "Operative Surgery." Annals of Surgery 216, no. 1 (July 1992): 98. http://dx.doi.org/10.1097/00000658-199207000-00024.

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2

Cherry, Kenneth J. "Operative Surgery." Journal of Vascular Surgery 16, no. 5 (November 1992): 800–801. http://dx.doi.org/10.1016/0741-5214(92)90244-3.

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3

Reading, George. "Operative Surgery." Plastic and Reconstructive Surgery 91, no. 2 (February 1993): 375. http://dx.doi.org/10.1097/00006534-199302000-00032.

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4

Liechty, R. Dale. "Operative Surgery." JAMA: The Journal of the American Medical Association 267, no. 20 (May 27, 1992): 2818. http://dx.doi.org/10.1001/jama.1992.03480200126039.

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5

Ramji, Alim F., Maxwell T. Trudeau, Michael R. Mancini, Matthew R. LeVasseur, Adam D. Lindsay, and Augustus D. Mazzocca. "A Case-Control Study of Hip Fracture Surgery Timing and Mortality at an Academic Hospital: Day Surgery May Be Safer than Night Surgery." Journal of Clinical Medicine 10, no. 16 (August 12, 2021): 3538. http://dx.doi.org/10.3390/jcm10163538.

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Time from hospital admission to operative intervention has been consistently demonstrated to have a significant impact on mortality. Nonetheless, the relationship between operative start time (day versus night) and associated mortality has not been thoroughly investigated. Methods: All patients who underwent hip fracture surgery at a single academic institution were retrospectively analyzed. Operative start times were dichotomized: (1) day operation—7 a.m. to 4 p.m.; (2) night operation—4 p.m. to 7 a.m. Outcomes between the two groups were evaluated. Results: Overall, 170 patients were included in this study. The average admission to operating room (OR) time was 26.0 ± 18.0 h, and 71.2% of cases were performed as a day operation. The overall 90-day mortality rate was 7.1% and was significantly higher for night operations (18.4% vs. 2.5%; p = 0.001). Following multivariable logistic regression analysis, only night operations were independently associated with 90-day mortality (aOR 8.91, 95% confidence interval 2.19–33.22; p = 0.002). Moreover, these patients were significantly more likely to return to the hospital within 50 days (34.7% vs. 19.0%; p = 0.029) and experience mortality prior to discharge (8.2% vs. 0.8%; p = 0.025). Notably, admission to OR time was not associated with in-hospital mortality (29.22 vs. 25.90 h; p = 0.685). Hip fracture surgery during daytime operative hours may minimize mortalities.

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6

Henderson, J. Michael. "Current operative surgery: General surgery." Gastroenterology 90, no. 6 (June 1986): 2037–38. http://dx.doi.org/10.1016/0016-5085(86)90295-7.

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7

EISEMAN, BEN. "Current Operative Surgery—General Surgery." Archives of Surgery 121, no. 7 (July 1, 1986): 855. http://dx.doi.org/10.1001/archsurg.1986.01400070125030.

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8

Bednar, Drew. "Operative Spine Surgery." Journal of Bone and Joint Surgery-American Volume 81, no. 12 (December 1999): 1793. http://dx.doi.org/10.2106/00004623-199912000-00022.

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9

Adlam, D. M. "Operative maxillofacial surgery." Journal of Bone and Joint Surgery. British volume 82-B, no. 3 (April 2000): 465. http://dx.doi.org/10.1302/0301-620x.82b3.0820465.

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Vao, James S. T. "Operative Vascular Surgery." Critical Care Medicine 14, no. 4 (April 1986): 312. http://dx.doi.org/10.1097/00003246-198604000-00023.

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Дисертації з теми "Operative surgery"

1

Sylaidis, Peter. "Multi media applications in medical education : evaluation of an interactive CD-ROM on practical skin wound management for medical undergraduate learning /." Title page, contents and summary only, 1999. http://web4.library.adelaide.edu.au/theses/09MS/09mss984.pdf.

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2

Lou, Meei-Fang. "Cognitive disturbance among elderly Taiwanese patients after elective surgery /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/7360.

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3

Lindblad, Alex J. "Increasing the functionality of finite element based surgical suturing simulators /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/10127.

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4

Otto, Stephanus Daniel. "Chewing gum therapy in third molar surgery." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_4769_1222844033.

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The aim of this study was to determine how effective a chewing gum regime is in treating the common minor complaints of third molar surgery. The efficacy of a six-day chewing gum regimen in reducing pain, swelling and trismus after third molar surgery was compared to no chewing gum therapy. Third molar surgery is an important part of any maxillofacial surgery practice. There is an ongoing quest to find new and innovative methods to treat the minor complaints of this procedure.

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Haggart, Paul C. "Myocardial injury in abdominal aortic surgery." Thesis, University of Aberdeen, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288261.

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Background: Peri-operative myocardial infarction (PMI) may be under- and/or mis-diagnosed because WHO criteria are often not met and creatinine kinase (CK/CK-MB) ratios can be difficult to interpret. Cardiac troponin (cTn) I is the most sensitive and specific marker of myocardial cell necrosis but is not yet widely available. Aims: 1. To examine the use of pre-operative risk indices, including ASA score, POSSUM score and Goldman’s cardiac risk index and compare these with peri-operative cTnI rise. 2. To compare cTnI levels with CK/CK-MB levels peri-operatively in the diagnosis of MI. 3. To explore the role of the fibrinolytic system in patients undergoing emergency surgery for ruptured aneurysm and relate this to cTnI levels. 4. To examine the use of the polymerase chain reaction (PCR) in the identification of bacteraemia and to relate this to systemic endotoxin levels and septic episodes. Methods: Prospective observational study of 67 patients undergoing aortic surgery (29 elective AAA, 31 emergency AAA, 7 aorto-occlusive). cTnI and endotoxin were measured pre-operatively and at 6, 24, 48, 72 and 96 hours postoperatively. Blood for PCR was also collected at these time points. CK and CK-MB were measured where cTnI was detectable. Fibrinolytic markers were measured up to 24 hours post operatively. Clinical, septic, ECG and cardiac events were prospectively documented. Results: ASA score was correlated with perioperative cTnI rise. Over 50% of patients undergoing emergency, and more than a quarter undergoing elective, aortic surgery will suffer myocardial injury as determined by cTnI rise. This is accompanied by CK/ CK-MB ratio in less than a fifth of cases. eTnI rise is associated with inhibition of fibrinolysis with emergency AAA repair. No relationships were observed with the presence of bacterial DNA, endotoxin response and sepsis.

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6

Nassif, Mohammed. "Early post operative findings in retroperitoneal sarcoma surgery." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121244.

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INTRODUCTION: Retroperitoneal sarcomas (RPS) are large in size and often involve adjacent organs or vital structures. Completeness of resection is critical for long-term survival. However, this often involves extensive operations. OBJECTIVE: The objective of this study was to determine the incidence of early postoperative complications after RPS surgery and identify their predictors. Return to the operating room (OR) and all-cause mortality within 30 days were also examined. METHODS: Administrative claims from the universal health insurance program that covers all residents in the province of Quebec (Canada) were used to identify patients who underwent surgery for retroperitoneal sarcoma. ICD9 and standardized billing codes were utilized. Using multivariate logistic regression analysis the association between patient characteristics and intraoperative variables with severe postoperative complications (Clavien grade ≥ 3 within 30 days) was assessed. RESULTS: 233 patients were included (median age 57). 33% had no comorbidities and 38% had a Charlson comorbidity index (CCI) ≥ 3. Overall, 34% of patients had ≥ 1 adjacent organs resected at surgery and 7% had > 3 organs removed. Early severe postoperative complications occurred in 33% of patients and there were 7 deaths (3%). In comparison to patients who had a CCI of 0, those with a score of ≥ 3 were more likely to have postoperative complications, (OR 2.58, CI 1.05-6.36). Patients who avoided elective post operative admission to the intensive care unit (ICU) within 24 hours of surgery had fewer complications postoperatively, (OR 0.07, CI 0.02-0.25). Male patients had a higher risk as well, (OR 2.4, CI 1.05-5.48). On the other hand, multiple organ resection during surgery and patients' age had no impact on the occurrence of severe complications. CONCLUSION: This study showed that patients' age and extent of surgical resection had no impact on the occurrence of postoperative complications after RPS surgery. While CCI patients sex and early ICU admission did. This suggests that age and extent of resection should not be used as a sole determinant of patient's eligibility for curative surgery in RPS.
INTRODUCTION: Les sarcomes rétropéritonéaux (SRP) sont de taille importante et impliquent souvent des organes adjacents ou des structures vitales. La résection est critique pour la survie à long terme mais il, s'agit souvent de vastes opérations. OBJECTIF: Le but de cette étude était est-de déterminer l'incidence des complications postopératoires précoces après la chirurgie SRP et d'identifier leurs facteurs prédictifs. Le retour à la salle d'opération (SO) et mortalité de toutes les causes dans les 30 postopératoires ont également été examinés. MÉTHODES: Les réclamations administratives du programme d'assurance-santé universel qui couvrent presque tous les résidents du Québec (Canada) ont été utilisées pour identifier les patients qui sont eu une chirurgie pour une sarcome rétropéritonéal. Le ICD9 et les codes manuelles de facturation standardisé ont été utilisés. L'analyse multivarié par régression logistique de l'association entre les caractéristiques des patients et les variables peropératoires souffrant de graves complications post-opératoires (Clavien ≥ grade 3 dans les 30 jours) a été évaluée. RÉSULTATS: 233 patients ont été inclus (âge médian 57). 33% n'avaient pas de comorbidités et 38% avaient un indice de comorbidité de Charlson (ICC) ≥ 3. Dans l'ensemble, 34% des patients avaient ≥ 1 des organes adjacents réséqués pendant la chirurgie et 7% avaient > 3 subit une ablation d'organes. Les premières complications postopératoires se sont produits chez 33% des patients et il y a eu 7 décès (3%). La comparaison avec les patients qui avaient un CCI de 0, suggère que ceux qui ont un score ≥ 3 étaient plus susceptibles d'avoir des complications post-opératoires, (OR 2,58, IC 1,05 à 6,36). Les patients qui ont évité une admission post-opératoire élective à l'unité de soins intensifs (USI) dans les 24 heures suivant l'intervention ont eu moins de complications post-opératoires, (OR 0,07, IC 0,02 à 0,25). En plus le sexe masculin présente un facteur de risque plus élevé, (OR 2,4, IC 1,05 à 5,48). Finalement, la résection multiviscérale pendant la chirurgie et l'âge des patients ont n'a pas eu d'effet sur la survenue de complications graves. CONCLUSION: Cette thèse a montré que l'âge des patients et l'étendue de la résection chirurgicale ont n'a pas d'incidence sur la survenue de complications postopératoires après une chirurgie SRP. Ceci suggère que l'âge et l'étendue de la résection ne dovent pas être utiliser comme seul déterminant de l'admissibilité des patients pour une chirurgie curative dans SRP.

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7

Chow, Yuen-yi, and 周婉儀. "Pre-operative music intervention to reduce patients' pre-operative anxiety in acute care setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623021.

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8

Hunt, Judith Mary. "The pathophysiology of equine post-operative ileus." Thesis, Royal Veterinary College (University of London), 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309273.

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9

Steen, Alexander, and Marcus Widegren. "3D Visualization for Pre-operative Planning of Orthopedic Surgery." Thesis, Linköpings universitet, Medie- och Informationsteknik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-94556.

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This report presents a master thesis on 3D visualization for pre-operation planning of orthopedic surgery done for Sectra Medical Systems AB. The focus is on visualizing clinically relevant data for planning a Total Hip Replacement (THR). The thesis includes a pre-study and the implementation of a prototype using the Sectra IDS7 workstation.

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10

Moonda, Zaheer. "Does the Intra-operatively measured Leg Length Correction compare to the Post-operative radiograph in Total Hip Replacement surgery?" Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33852.

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Aims This study aims to compare the leg length correction (LLC) measured intra-operatively using the Vertical Measurement SystemTM (VMS) in total hip arthroplasty (THA), with the LLC measured on a 6-week post-operative Xray. We also wanted to quantify any residual leg length discrepancy (LLD) using this method. Patients and Methods A prospective cohort study was conducted, in which patients undergoing primary THA were enrolled at two centres in Cape Town, over a period of 19 weeks. THA's were performed by four surgeons. Pre-operative leg length discrepancy measurements were obtained in 92 patients. The VMS was used to predict intra-operative leg length correction (LLC), and this measurement was compared to the post-operative leg length correction measured on the 6-week follow-up X-ray. These measurements were statistically compared using Mann-Whitney U Test. Results The difference between the intra-operative VMS calculation and the 6-week radiological measurement was not significant (p>0.05), with the difference in their mean values being 0.07 ± 3.26mm. In the cohort, 81.52% of the patients (n=75) were within 5mm of the target LLC, and 95.65% of patients (n=88) were within 10mm of the target LLC. The mean absolute residual LLD at 6 weeks was 3.22 ± 3.13mm. Conclusion The intra operative LLC measurement obtained using the VMS accurately predicts the 6-week post op radiographic LLC measurement.

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Книги з теми "Operative surgery"

1

R, McLatchie Greg, and Leaper David J, eds. Operative surgery. 2nd ed. Oxford: Oxford University Press, 2006.

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2

Yorke, Calne Roy, and Pollard Stephen G, eds. Operative surgery. London: Gower Medical Pub., 1991.

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3

Spray, Thomas L., and Michael A. Acker, eds. Operative Cardiac Surgery. Sixth edition. | Boca Raton : CRC Press, 2018.: CRC Press, 2018. http://dx.doi.org/10.1201/9781351175975.

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4

Davenport, Mark, James D. Geiger, Nigel J. Hall, and Steven S. Rothenberg, eds. Operative Pediatric Surgery. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801.

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5

Khatri, Vijay P. Operative surgery manual. Philadelphia: Saunders, 2003.

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6

Prem, Puri, ed. Operative newborn surgery. Oxford: Butterworth-Heinemann, 1995.

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7

C, Welch William, Jacobs George B, and Jackson Roger P, eds. Operative spine surgery. Stamford, Conn: Appleton & Lange, 1999.

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8

1926-, Block George E., and Moossa A. R, eds. Operative colorectal surgery. Philadelphia: W.B. Saunders, 1994.

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9

Khatri, Vijay P. Operative surgery manual. Philadelphia: Saunders, 2003.

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10

P, Green David, ed. Operative hand surgery. 2nd ed. New York: Churchill Livingstone, 1988.

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Частини книг з теми "Operative surgery"

1

Bricout, Nathalie. "Operative technique." In Breast surgery, 211–14. Paris: Springer Paris, 1996. http://dx.doi.org/10.1007/978-2-8178-0926-7_19.

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Bricout, Nathalie. "Operative technique." In Breast surgery, 383–88. Paris: Springer Paris, 1996. http://dx.doi.org/10.1007/978-2-8178-0926-7_35.

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Dewberry, Lindel C. K., and Thomas H. Inge. "Bariatric surgery." In Operative Pediatric Surgery, 291–99. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-33.

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Partridge, Emily A., and Alan W. Flake. "Fetal surgery." In Operative Pediatric Surgery, 805–14. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-86.

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Bouhanna, Pierre, and Jean-Claude Dardour. "Operative Indications." In Hair Replacement Surgery, 189–235. Berlin, Heidelberg: Springer Berlin Heidelberg, 1996. http://dx.doi.org/10.1007/978-3-642-79612-8_13.

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Levitt, Marc A. "Operative Techniques." In Pediatric Colorectal Surgery, 27–36. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003150015-5.

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Girvin, John P. "Rolandic Surgery." In Operative Techniques in Epilepsy, 201–26. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-10921-3_8.

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Ralls, Matthew W., and Marcus D. Jarboe. "Laparoscopic surgery and imaging-directed surgery for anorectal malformation." In Operative Pediatric Surgery, 409–13. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-45.

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Islam, Saleem, James D. Geiger, Steven S. Rothenberg, and M. Kunisaki Shaun. "Principles of lung surgery." In Operative Pediatric Surgery, 129–37. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-16.

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Gander, Jeffrey W. "Head and neck surgery." In Operative Pediatric Surgery, 15–24. 8th edition. | Boca Raton CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9781351250801-2.

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Тези доповідей конференцій з теми "Operative surgery"

1

Li, Senhu, Brian T. Lennon, Jon M. Waite, Logan W. Clements, Mike A. Scherer, and Jim D. Stefansic. "Liver surgery perspective: from pre-operative surgery planning to intra-operative image guided operation." In Sixth International Symposium on Multispectral Image Processing and Pattern Recognition, edited by Jianguo Liu, Kunio Doi, Aaron Fenster, and S. C. Chan. SPIE, 2009. http://dx.doi.org/10.1117/12.834073.

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Monticone, Marco. "Lumbar Spondylosis: Non-Operative Treatment." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.051.

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Zairi, Fahed. "Neck Axial Pain Operative Management." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.030.

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Assaker, Richard. "Cervical Radiculopathy Non-Operative Management." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.032.

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Aguirre, José. "Pre-operative Assessment of Spinal Patients." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.017.

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Zanoli, Gustavo. "Spinal Stenosis: Non-Operative Treatment, Rehab, Medication." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.047.

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Li, Xiang, Hui Xiang, and Jiang Lin. "Semi-automatic 3D virtual surgery environment generation from operative surgery manuals." In 2012 International Conference on Systems and Informatics (ICSAI). IEEE, 2012. http://dx.doi.org/10.1109/icsai.2012.6223054.

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Zairi, Fahed. "Natural History and Non-Operative Management of Cervical Myelopathy." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.029.

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Kothe, Ralph. "Natural History and Non-Operative Management of Cervical Myelopathy." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.037.

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Monticone, Marco. "Non-operative Treatment, Rehab, Medication in Lumbar Disc Herniation." In eccElearning Postgraduate Diploma in Spine Surgery. eccElearning, 2017. http://dx.doi.org/10.28962/01.3.042.

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Звіти організацій з теми "Operative surgery"

1

Antoniadi, Yuri, Evgenia Dmitrieva, Svetlana Sharova, Anzhela Vasnina, and Svetlana Komarova. The e-learning course "Topographic Anatomy and Operative Surgery". SIB-Expertise, December 2022. http://dx.doi.org/10.12731/er0658.15122022.

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ЭУК Топографическая анатомия и оперативная хирургия предназначен для студентов лечебно-профилактического и педиарического факультетов 2-3 курсов. Курс предназначен для самостоятельного освоения материала дисциплины и построен в соответствии с программой дисциплины. Каждый раздел включает в себя лекционный материал, практическую часть и тестовый контроль.

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McGovern, Ruth, Vincent McGovern, and Martina Healy. Congenital Diaphragmatic Hernias – Part 2. World Federation of Societies of Anaesthesiologists, July 2024. http://dx.doi.org/10.28923/atotw.527.

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This tutorial outlines the perioperative management of congenital diaphragmatic hernia with particular attention to pre-operative optimization, ideal timing of surgery, specific intraoperative considerations and post operative care.

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Pratx, Guillem. Intra-operative Cerenkov Imaging for Guiding Breast Cancer Surgery and Assessing Tumor Margins. Fort Belvoir, VA: Defense Technical Information Center, March 2014. http://dx.doi.org/10.21236/ada601641.

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Yue, Lei, Guanzhang Mu, Zengmao Lin, and Haolin Sun. Impact of low-dose intrathecal morphine on orthopedic surgery: a protocol of a systematic review and meta-analysis of randomized controlled trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2022. http://dx.doi.org/10.37766/inplasy2022.2.0029.

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Review question / Objective: Patients undergoing orthopedic surgery usually suffer considerably from peri-operative pain and intrathecal morphine (ITM) has recent been used as an effective analgesia method. The intrathecal morphine dose achieving optimal analgesia for orthopedic surgery while minimizing side effects has not yet been determined. There is currently a lack of literature synthesis in the safety and effects of low-dose ITM on orthopedic surgery. Condition being studied: Low-dose intrathecal morphine on orthopedic surgery. Information sources: We will search the following electronic databases, registries and websites on January 11th 2022, unrestricted by date. Grey literature and non-English studies will not be excluded. English Databases: PubMed, Cochrane library and Web of science. Chinese database: Cnki.net Trial registries: ClinicalTrials.gov.

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Moss, David, Paul Crawford, Heather Pickett, and Eric Abbott. Ear Acupuncture for Post-Operative Pain Associated with Ambulatory Arthroscopic Knee Surgery: A Randomized Controlled Trial. Fort Belvoir, VA: Defense Technical Information Center, January 2014. http://dx.doi.org/10.21236/ada594194.

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Moss, David, Paul Crawford, Heather Pickett, and Eric Abbott. Ear Acupuncture for Post-Operative Pain Associated with Ambulatory Arthroscopic Knee Surgery: A Randomized Controlled Trial. Fort Belvoir, VA: Defense Technical Information Center, January 2014. http://dx.doi.org/10.21236/ada595444.

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Xu, Zhiteng, and Renbin Li. A systematic review and meta-analysis of outcomes following unicompartmental knee arthroplasty versus total knee arthroplasty for unicondylar knee osteoarthritis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2023. http://dx.doi.org/10.37766/inplasy2023.3.0003.

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Review question / Objective: To conduct a systematic review and meta-analysis of randomized controlled trials comparing outcomes following unicompartmental knee arthroplasty versus total knee arthroplasty for patients with unicondylar knee osteoarthritis. Condition being studied: Knee osteoarthritis is a common disease in elderly population and its treatment strategies consist of non-operative treatment and surgery. Arthroplasty is a main surgery for this condition, while the optimal selection between unicompartmental knee arthroplasty and total knee arthroplasty remains debatable. We aim to collect RCTs comparing these two techniques in treatment of knee osteoarthritis and make a meta-analysis in order to provide high level of evidence for future decision-making for this issue.

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Acred, Aleksander, Milena Devineni, and Lindsey Blake. Opioid Free Anesthesia to Prevent Post Operative Nausea/Vomiting. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0006.

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Purpose The purpose of this study is to compare the incidence of post-operative nausea and vomiting (PONV) in opioid-utilizing and opioid-free general anesthesia. Background PONV is an extremely common, potentially dangerous side effect of general anesthesia. PONV is caused by a collection of anesthetic and surgical interventions. Current practice to prevent PONV is to use 1-2 antiemetics during surgery, identify high risk patients and utilize tracheal intubation over laryngeal airways when indicated. Current research suggests minimizing the use of volatile anesthetics and opioids can reduce the incidence of PONV, but this does not reflect current practice. Methods In this scoping review, the MeSH search terms used to collect data were “anesthesia”, “postoperative nausea and vomiting”, “morbidity”, “retrospective studies”, “anesthesia, general”, “analgesics, opioid”, “pain postoperative”, “pain management” and “anesthesia, intravenous”. The Discovery Search engine, AccessMedicine and UpToDate were the search engines used to research this data. Filters were applied to these searches to ensure all the literature was peer-reviewed, full-text and preferably from academic journals. Results Opioid free anesthesia was found to decrease PONV by 69%. PONV incidence was overwhelming decreased with opioid free anesthesia in every study that was reviewed. Implications The future direction of opioid-free anesthesia and PONV prevention are broad topics to discuss, due to the nature of anesthesia. Administration of TIVA, esmolol and ketamine, as well as the decision to withhold opioids, are solely up to the anesthesia provider’s discretion. Increasing research and education in the importance of opioid-free anesthesia to decrease the incidence of PONV will be necessary to ensure anesthesia providers choose this protocol in their practice.

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Smith, Paul N., David R. J. Gill, Michael J. McAuliffe, Catherine McDougall, James D. Stoney, Christopher J. Vertullo, Christopher J. Wall, et al. Patient Reported Outcome Measures: Hip, Knee and Shoulder Arthroplasty Supplementary Report. Australian Orthopaedic Association, October 2023. http://dx.doi.org/10.25310/uzxp4031.

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The AOANJRR first reported PROMs outcomes in the 2021 Annual Report. This year, PROMs information is provided in this dedicated supplementary report. Patient reported outcome measures (PROMs) are surveys that assess dimensions of health from the perspective of the patient. These are additional joint replacement outcomes that are reported directly by patients through a bespoke electronic data capture system. The system is currently being implemented nationally in all hospitals undertaking joint replacement surgery. Several different instruments are used to collect data on patients’ quality of life and joint-specific pain, function, and recovery. This year, PROMs data are reported for primary total hip, primary total knee, primary stemmed anatomic shoulder and primary total stemmed reverse shoulder replacement undertaken for osteoarthritis (OA), and primary reverse total shoulder replacement undertaken for rotator cuff arthropathy. The data are presented overall for each category of joint replacement as well as for the two shoulder diagnoses assessed, and their variations by age and gender. Individual surgeon and individual hospital (both de-identified) pre-operative quality of life and joint-specific scores are also reported for primary total hip, primary total knee, and primary total stemmed reverse shoulder replacement only. The 2023 Patient Reported Outcome Measures Supplementary Report is based on the analysis of procedures using prostheses that have been available and used in 2022 (described as modern prostheses) with a procedure date up to and including 31 December 2022. These include 22,448 pre-operative and 14,677 post-operative PROMs for primary total hip procedures performed for osteoarthritis, 34,827 pre-operative and 22,363 post-operative PROMs for primary total knee procedures for osteoarthritis and 2,204 pre-operative and 1,271 post-operative PROMs for primary total stemmed anatomic and primary total stemmed reverse shoulder procedures performed for osteoarthritis and rotator cuff arthropathy. This PROMs Supplementary Report is one of 16 supplementary reports to complete the AOANJRR Annual Report for 2023. The 2023 Annual Report, Supplementary Reports, and investigations of prostheses with higher than anticipated rates of revision are available on the AOANJRR website. Information on the background, purpose, aims, benefits and governance of the Registry can be found in the Introduction of the 2023 Hip, Knee and Shoulder Arthroplasty Annual Report. The Registry data quality processes including data collection, validation and outcomes assessment, are provided in detail in the data quality section of the 2023 Hip, Knee and Shoulder Arthroplasty Annual Report: https://aoanjrr.sahmri.com/annual-reports-2023.

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Lochab, Dr Prachi, Dr Lata Rajoria, Dr Sunita Hemani, and Dr Akanksha Akanksha. EVALUATION OF IOTA SIMPLE ULTRASOUND RULES AND HISTOPATHOLOGY TO DISTINGUISH BETWEEN BENIGN AND MALIGNANT OVARIAN TUMORS : A DESCRIPTIVE STUDY. World Wide Journals, February 2023. http://dx.doi.org/10.36106/ijar/5405931.

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Introduction: Ovarian masses present with very vague symptoms and thus it is imperative to establish a quick diagnosis at the rst point of contact. Pre-operative diagnosis of an ovarian mass and its classication as benign or malignant helps in timely referral to specialized gynecologist/oncologist and proper surgical/medical management. IOTA simple Rules provides one such criteria for pre-operative classication of ovarian mass and has proved to be reliable, accurate and highly reproducible in all settings. a hospital Methods: based prospective study was done on 100 patients. Initial pre-operative classication was done using IOTA Simple Rules and the ndings were compared to histo-pathological ndings after surgery which were considered gold standard. Out of the 100 masses under study, 86% Results: could be classied according to IOTA Simple Rules with a sensitivity of 96.36% and specicity of 91.4%. The positive predictive value was 80.3% and the negative predictive value was 94.1%. The accuracy was 85%. Thus, IOTA S Conclusion: imple Rules is a cost-effective, simple, reliable, accurate scoring system with excellent sensitivity and specicity that is easily applicable in primary evaluation of patients with ovarian masses in clinical practice. Only unclassied masses on IOTA Simple Rules need further evaluation. Use of these rules in discriminating the masses will help in timely referral of the patient to specialized gynecologist /oncologist to receive optimal management.

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