27 research outputs found
Peritoneal changes due to laparoscopic surgery
Get PDFItem does not contain fulltextBACKGROUND: Laparoscopic surgery has been incorporated into common surgical practice. The peritoneum is an organ with various biologic functions that may be affected in different ways by laparoscopic and open techniques. Clinically, these alterations may be important in issues such as peritoneal metastasis and adhesion formation. METHODS: A literature search using the Pubmed and Cochrane databases identified articles focusing on the key issues of laparoscopy, peritoneum, inflammation, morphology, immunology, and fibrinolysis. Results : Laparoscopic surgery induces alterations in the peritoneal integrity and causes local acidosis, probably due to peritoneal hypoxia. The local immune system and inflammation are modulated by a pneumoperitoneum. Additionally, the peritoneal plasmin system is inhibited, leading to peritoneal hypofibrinolysis. CONCLUSION: Similar to open surgery, laparoscopic surgery affects both the integrity and biology of the peritoneum. These observations may have implications for various clinical conditions.1 januari 201
An oral health education video game for high caries risk children: study protocol for a randomized controlled trial
Get PDFPOstLAparoscopic Reduction of pain By combining intraperitoneal normal salinE And the pulmonary Recruitment maneuver (POLAR BEAR trial). RCT to estimate reduction in pain after laparoscopic surgery when using a combination therapy of intraperitoneal normal saline and the pulmonary recruitment maneuver
Full text linkAccelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial
Get PDFPrimary graft dysfunction of the liver: definitions, diagnostic criteria and risk factors
Full text linkRisk factors for primary dysfunction after liver transplantation in the University of Wisconsin solution era
No full textRisk factors for primary dysfunction after liver transplantation in the University of Wisconsin solution era
No full textRisk factors for primary dysfunction after liver transplantation in the University of Wisconsin solution era
No full textPulmonary arterial stiffness indices assessed by intravascular ultrasound in children with early pulmonary vascular disease:Prediction of advanced disease and mortality during 20-year follow-up
Get PDFAims Prognosis in children with pulmonary vascular disease (PVD) is closely linked to right ventricular (RV) failure due to increased RV-afterload. Pulmonary arterial (PA) stiffening is known to occur early in the course of PVD and constitutes a main component of RV-afterload. This study aimed to evaluate the clinical value of PA-stiffness in children with PVD by determining its association with advanced pulmonary arterial hypertension (PAH) and mortality at long-term follow-up. Methods and results Forty-one children with various stages of arterial PVD, defined as mean PA-pressure >= 20 mmHg and/or pulmonary-to-systemic flow-ratio >= 1.2, and mean pulmonary capillary wedge pressure Conclusion In children with PVD, PA-stiffness indices assessed by IVUS predict advanced PAH and mortality at long term follow-up. Especially in patients with favourable haemodynamics, assessment of intrinsic PA-stiffness may enhance the prognostication of disease progression and survival
