Traditionally, osteochondritis dissecans (OCD) has been thought of as a rare disorder occurring in approximately 15 to 21 per 100,000 knees.1 However, OCD is becoming increasingly more common as a cause of knee pain in teenagers and young adults. This may be due to earlier and increasingly competitive athletic endeavors.2 In addition, the widespread use of magnetic resonance imaging (MRI) as a ...

Pulmonary function testing (PFT) is used extensively by pulmonary specialists to address two common clinical questions: (1) What is the risk of a postoperative pulmonary complication in an individual with lung disease? and (2) Will the patient be able to tolerate lung resection surgery? Today, there are numerous tests available to measure pulmonary function; making judicious use of these tests ...

Cost-effective preoperative evaluation can be approached from a variety of methods, educational strategies, and use of data to modify clinical practice. This article focuses on the proposed organizational and clinical changes in the process of preoperative evaluations, the cost-effective outcomes, and the relative merits these changes provide the physicians, operating room nurses, and center ad...

W HEN THE WHOLE BLOOD clotting time and the Duke bleeding time were the tests used to screen hemostatic function preoperatively, the question posed in the title of this brief review was easy to answer: Do not bother with these insensitive tests, rely on the patient’s history. However, the reliability today of screening techniques that can detect virtually all patients with hemostatic abnormalit...

Corresponding author: Jae Hwan Kim, M.D., Department of Anesthesiology and Pain Medicine, Korea University Ansan Hospital, 516, Gojan 1-dong, Danwon-gu, Ansan 425-707, Korea. Tel: 82-31-412-5295, Fax: 82-31-412-5294, E-mail: [email protected] This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/lice...

Lung resection is the mainstay of treatment in patients with early stage non-small cell lung cancer. However, lung cancer patients often suffer from comorbidities and the respiratory reserve should be carefully evaluated preoperatively in order to avoid postoperative complications. Forced expiratory volume in 1 second (FEV1) is considered to be an index that depicts the patient's respiratory ef...

In the multidisciplinary treatment of rectal cancer various disciplines are involved to make treatment decisions. Pathology is one of them, being involved in both preoperative and postoperative patient evaluation. In the current review the preoperative role is described briefly and it focuses mainly on the postoperative evaluation. This evaluation is not only the assessment of tumour invasion, ...

We reviewed the approach to preoperative cardiac risk assessment, incorporating new information regarding the pathophysiologic features of perioperative myocardial ischemia and recent clinical trials. Relevant articles were identified from a MEDLINE search, followed by bibliography review of the articles identified. The multifactorial risk indexes are valuable in stratifying risks among unselec...

Preoperative evaluation of melanoma thickness using dermatoscopy has been published in only few studies in the world, and it is done only experimentally. In daily praxis, none of the published methods is applicable. Great importance for preoperative determination of tumor thickness lies in the fact that surgical margins and sentinel node biopsies are determined only by melanoma thickness (repor...

Our preop evaluation method combines the latest guidelines and tools to help you avoid unnecessary testing and complete the process in one visit.