INTRODUCTION Despite there being no evidence of the advantages of its use, mechanical bowel preparation (MBP) continues to be routine in colorectal surgery. Our objective is to analyse the impact of its selective use, as regards patient comfort and results, comparing a perioperative multimodal rehabilitation program (MMRH) with conventional care (CC). MATERIAL AND METHODS A prospective study ...

Background The role of eHealth programs to support patients through surgical pathways, including total hip arthroplasty (THA), is rapidly growing and offers the potential improve patient engagement, self-care, outcomes. Objective aim this study compare effects an program (intervention) versus standard care for pre- postoperative education on outcomes primary THA. Methods A prospective parallel ...

Preoperative pulmonary evaluation and preparation involve first identifying patients at risk for complications and then attempting to modify that risk. For most patients without underlying lung disease, a thorough history and physical examination and preoperative instruction in the use of incentive spirometry is sufficient. In patients with known or suspected lung disease, preoperative pulmonar...

children, similar to adults, are required to fast before general anesthesia in order to reduce  the volume and acidity of stomach contents. it is thought that npo regulations reduce the risk of regurgitation and aspiration of gastric contents during surgery. recent developments have encouraged a shift from the standard 'nil by mouth from midnight' fasting policy to more relaxed regime...

conclusions in this study, the preoperative anxiety was reduced by explaining anesthesia and surgery to the mothers and children (in mothers it was significant p < 0.05). since there is a direct relation between mothers’ and their children’s anxiety, using an effective method to reduce anxiety in children and their mothers together at the same time would be very useful for children and their mo...

This case demonstrates the possibility of using balloon angioplasty in patients with non-ST segment elevation acute coronary syndrome and restenosis previously implanted stents as a measure to temporary stabilize blood flow patient’s condition for preoperative preparation subsequent emergency bypass grafting.

Large mediastinal masses are rare, and encompass a wide variety of diseases. Regardless of the diagnosis, all large mediastinal masses may cause compression or invasion of vital structures, resulting in respiratory insufficiency or hemodynamic decompensation. Detailed preoperative preparation is a prerequisite for favorable surgical outcomes and should include preoperative multimodality imaging...

BACKGROUND Surgical management of giant ventral hernias is a surgical challenge due to limited abdominal cavity. This study evaluates management of giant ventral hernias using polypropylene mesh and host tissue barrier after suitable preoperative preparation. METHODS In the period from January 2005 and January 2007, 35 patients with giant ventral hernias underwent hernia repair. After careful...