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International Journal of Impotence... Jan 2021If the surgeon makes a flawed and unrecognized movement with an instrument during implantation surgery, the cylinder subsequently may migrate into an unexpected position... (Review)
Review
If the surgeon makes a flawed and unrecognized movement with an instrument during implantation surgery, the cylinder subsequently may migrate into an unexpected position with inflation and thrusting post operatively. The out of position cylinder is now evident to the patient or symptomatic with discomfort. This 5th Wilson's Workshop will describe our recommended surgeries for correction of out of place cylinders and illustrate the simplest, safest and least invasive.
Topics: Equipment Failure; Humans; Postoperative Period
PubMed: 32457496
DOI: 10.1038/s41443-020-0310-0 -
American Journal of Surgery Jul 1960
Topics: Chylothorax; Humans; Postoperative Period
PubMed: 13834064
DOI: 10.1016/0002-9610(60)90531-6 -
Northwest Medicine Nov 1949
Topics: Humans; Pancreatitis; Postoperative Period
PubMed: 15395685
DOI: No ID Found -
Annals of Surgery Apr 1954
Topics: Chylothorax; Humans; Postoperative Period
PubMed: 13149104
DOI: 10.1097/00000658-195404000-00016 -
Clinical Hemorheology and... 2022The incidence of postoperative microcirculatory flow alterations and their effect on outcome have not been studied extensively. (Meta-Analysis)
Meta-Analysis
BACKGROUND
The incidence of postoperative microcirculatory flow alterations and their effect on outcome have not been studied extensively.
OBJECTIVE
This systematic review and meta-analysis were designed to investigate the presence of sublingual microcirculatory flow alterations during the immediate and early postoperative period and their correlation with complications and survival.
METHODS
A systematic search of PubMed, Scopus, Embase, PubMed Central, and Google Scholar was conducted for relevant articles from January 2000 to March 2021. Eligibility criteria were randomized controlled and non-randomized trials. Case reports, case series, review papers, animal studies and non-English literature were excluded. The primary outcome was the assessment of sublingual microcirculatory alterations during the immediate and early postoperative period in adult patients undergoing surgery. Risk of bias was assessed with the Ottawa-Newcastle scale. Standard meta-analysis methods (random-effects models) were used to assess the difference in microcirculation variables.
RESULTS
Thirteen studies were included. No statistically significant difference was found between preoperative and postoperative total vessel density (p = 0.084; Standardized Mean Difference (SMD): -0.029; 95%CI: -0.31 to 0.26; I2 = 22.55%). Perfused vessel density significantly decreased postoperatively (p = 0.035; SMD: 0.344; 95%CI: 0.02 to 0.66; I2 = 65.66%), while perfused boundary region significantly increased postoperatively (p = 0.031; SMD: -0.415; 95%CI: -0.79 to -0.03; I2 = 37.21%). Microvascular flow index significantly decreased postoperatively (p = 0.028; SMD: 0.587; 95%CI: 0.06 to 1.11; I2 = 86.09%), while no statistically significant difference was found between preoperative and postoperative proportion of perfused vessels (p = 0.089; SMD: 0.53; 95%CI: -0.08 to 1.14; I2 = 70.71%). The results of the non-cardiac surgery post-hoc analysis were comparable except that no statistically significant difference in perfused vessel density was found (p = 0.69; SMD: 0.07; 95%CI: -0.26 to 0.39; I2 = 0%).
LIMITATIONS
The included studies investigate heterogeneous groups of surgical patients. There were no randomized controlled trials.
CONCLUSIONS
Significant sublingual microcirculatory flow alterations are present during the immediate and early postoperative period. Further research is required to estimate the correlation of sublingual microcirculatory flow impairment with complications and survival.
Topics: Humans; Microcirculation; Postoperative Period
PubMed: 34719484
DOI: 10.3233/CH-211214 -
Annals of Palliative Medicine Aug 2022
Topics: Humans; Postoperative Period
PubMed: 35871274
DOI: 10.21037/apm-22-784 -
American Journal of Surgery Dec 1945
Topics: General Surgery; Humans; Postoperative Care; Postoperative Period
PubMed: 21005182
DOI: 10.1016/0002-9610(45)90186-3 -
Paediatric Anaesthesia Jul 2018
Topics: Anesthesia; Anesthesia Recovery Period; Child; Child Behavior; Humans; Postoperative Period
PubMed: 30133907
DOI: 10.1111/pan.13411 -
Female Pelvic Medicine & Reconstructive... 2018
Topics: Analgesics, Opioid; Humans; Pain, Postoperative; Postoperative Period
PubMed: 30365460
DOI: 10.1097/SPV.0000000000000623 -
Anesthesiology Sep 2018
Topics: Humans; Postoperative Period; Software
PubMed: 30106789
DOI: 10.1097/ALN.0000000000002351