As is detailed elsewhere in this issue, enhanced recovery pathways integrate evidence-based best practices across the spectrum of perioperative care. Although interventions in the operating room and in the postoperative ward are important for improving postoperative outcomes in enhanced recovery after surgery (ERAS®) pathways, an ERAS® approach for preoperative care is equally important for ach...

Introduction. Colorectal cancer is one of the most frequent cancers in the world and liver metastases are seen in up to 19% of patients with colorectal cancers. Detection of liver metastases is not only vital for sufficient treatment and survival, but also for a better estimation of prognosis. The aim of this study was to evaluate the feasibility of diffusion weighted MRI of the liver as part o...

PURPOSE To evaluate the incidence of ophthalmologic and systemic complications in patients who undergo cataract surgery without preoperative tests compared to subjects undergoing cataract surgery preceded by preoperative tests. METHODS The randomized controlled study included 1276 consecutive patients admitted to the Institute of Ophthalmology of the University of Modena and Reggio Emilia for...

BACKGROUND Preoperative esophageal manometry and 24-hour pH monitoring commonly are used in preoperative evaluation of patients undergoing fundoplication. Here we review our experience with the selective preoperative workup of patients undergoing fundoplication to treat gastroesophageal reflux disease. STUDY DESIGN A series of 628 consecutive antireflux procedures was reviewed. History and ph...

BACKGROUND Because of its safety, relative low cost and widespread availability, conventional ultrasound (US) is the modality of choice for initial evaluation of the liver. Following US, in patients eligible for surgery, further computed tomography and/or magnetic resonance imaging is usually recommended for surgical planning. There are no recent published series focusing on conventional abdomi...

BACKGROUND AND OBJECTIVES Preanesthesia evaluation (PAE) is fundamental in the preparation of a surgical patient. Among its advantages is the reduction of preoperative care costs. Although prior studies had observed this benefit, it is not clear whether it can be taken into consideration among us. The objective of the present study was to compare the costs of preoperative care performed by the ...

introduction: the preoperative diagnostic evaluation of the parotid lesion is a valuable aid in planning the operation and the approach to intervention. among different diagnostic tools, fine needle aspiration has a key role. however, the exact efficacy of this technique in our center had not been thoroughly investigated. materials and methods: between january 2000 and june 2007 a subset of 64 ...

We describe an additional use of the Foley catheter for preoperative and postoperative evaluation of the regurgitant mitral valve.

PURPOSE To review the diagnostic examination and clinical presentation of mucinous cystadenoma of the appendix. METHODS Case report from experience at an Air Force tertiary care hospital in a 66-year-old woman with chronic right lower quadrant pain. RESULTS After extensive preoperative evaluation and subsequent diagnostic laparoscopy, a right hemicolectomy was performed for a mucinous cysta...

AIM To review the 8-year experience of the Department of Esophagogastric Surgery, First Surgical University Hospital in Belgrade in the surgical management of Zenker's diverticula (ZD). METHODS Between January 2000 and January 2009, 52 patients underwent surgical procedure for the treatment of ZD. Complete preoperative workup including the symptom evaluation and large variety of structural an...