Tag: Surgery

1. Inflammatory bowel disease (IBD) is associated with increased risk of coronary microvascular dysfunction (CMD). 2. Surgical intestinal resection in IBD patients improved coronary flow velocity reserve (CFVR), a measure of CMD. Evidence Rating Level: 2 (Good) Inflammatory bowel diseases (IBDs) include conditions such as Crohn Disease (CD) and Ulcerative Colitis (UC)....

Association of oral corticosteroid bursts with severe adverse events in children 1. Among a large cohort of children in Taiwan, oral corticosteroids prescribed for <14 days were associated with an increased risk of gastrointestinal (GI) bleeds, sepsis, and pneumonia during the first month of therapy initiation. Evidence level rating: 2...

1. Among neonates with congenital gastrointestinal malformations requiring surgery, early enteral feeding is safe and well-tolerated when compared with traditional postoperative nutrition strategies. Evidence Level Rating: 1 (Excellent) Congenital gastrointestinal malformations – such as duodenal obstruction, jejunoileal atresia, and meconium ileus – among neonates are often treated with primary intestinal anastomosis....

Objective sleep efficiency predicts cardiovascular disease in a community population: The Sleep Heart Health Study 1. In a large, community-based cohort, poor sleep efficiency and wake after sleep onset were associated with major adverse cardiovascular events. Evidence Rating Level: 2 (Good) Sleep efficiency (SE) is defined as the ratio of time spent...

Safety of combined division vs separate division of the splenic vein in patients undergoing distal pancreatectomy 1. In distal pancreatectomy procedures, combined division of the splenic vein with the pancreatic parenchyma had no difference in safety compared to the conventional, separated division method. Evidence Rating Level: 1 (Excellent) In a distal pancreatectomy...

Rates of rebleeding, thrombosis and mortality associated with resumption of anticoagulant therapy after anticoagulant-related bleeding 1. Resuming oral anticoagulant (OAC) therapy after an OAC-related bleed was associated with higher rates of subsequent bleeding, but lower rates of thrombosis and all-cause mortality.   Evidence Rating Level: 2 (Good) While oral anticoagulants (OACs) are used...

1. 5 and 10 years after undergoing a high tibial osteotomy procedure, 95% and 79% of knee osteoarthritis patients respectively did not require a total knee replacement. 2. Preoperative factors associated with an increased rate of conversion to total knee replacement included greater radiographic severity, female sex, greater knee pain,...

Total knee replacement after high tibial osteotomy: time-to-event analysis and predictors 1. 5 and 10 years after undergoing a high tibial osteotomy procedure, 95% and 79% of knee osteoarthritis patients respectively did not require a total knee replacement. 2. Preoperative factors associated with an increased rate of conversion to total knee...

1. In patients undergoing open ventral hernia repair with mesh placement, liposomal bupivacaine transversus abdominus plane block did not reduce postoperative opioid use when compared with simple bupivacaine and a placebo. Evidence Rating Level: 1 (Excellent) Study Rundown: Multiple pain control strategies that do not rely on opioids have been developed...

1. COVID-19 infected patients were found to be at an increased risk of postoperative pulmonary and septic complications compared with a matched, non-infected cohort. Evidence Level Rating: 2 (Good) Numerous reports have indicated high rates of significant post-operative complications among COVID-19 positive patients. Given the magnitude and severity of the ongoing...