abstract background: primary hyperparathyroidism is autonomous production of parathyroid hormone. after removal of adenoma, one of the surgeons concern is postoperative hypocalcaemia. there is no precise method to determine if patients have hypocalcaemia postoperatively. the purpose of this study was to determine the relation between parathyroid adenoma weights, postoperative serum calcium and ...

Purpose of Review This review will examine the implications for perioperative management of new hypertension guidelines and place these in the context of findings from recent large observational studies. Recent Findings Recent hypertension guidelines highlight the role of ambulatory blood pressure measurement with the implication that isolated preoperative blood pressure measurements are of l...

Preoperative embolization procedures are constantly evolving and allow the performance of, or improve the outcome of, subsequent surgical interventions. Currently, some of the more frequently performed procedures in this group are portal vein embolization (PVE) in anticipation of extended liver resection, preoperative embolization of hypervascular tumors, and chemoembolization of hepatocellular...

Afibrinogenemia or hypofibrinogenemia is a quantitative defect in fibrinogen. It is a rare disease with estimated frequency of 1 in 1,000,000 population. Routine preoperative screening tests of coagulation disorders are insufficient to detect subtle disorders of fibrinogen. Herein, we report a child who was supposed to undergo open cardiac surgery for a large atrial septal defect. Preoperative ...

larger tumor burden leads to higher serum ca-125 levels and the ability to perform optimal tumor cytoreduction of advanced ovarian cancer is also a function of tumor bulk. the purpose of this study was to identify the ability of preoperative serum ca-125 to predict possibility of optimal primary tumor cytoreduction in epithelial ovarian carcinoma (eoc). a total of 90 patients with eoc were eval...

background: a glass injury to the wrist and forearm is a common condition in adults and children that may cause significant discomfort and disability. this study was conducted to evaluate the accuracy of preoperative examination of this injury. methods: in this prospective study, among patients referred to kashani hospital in isfahan, iran from august 2006 to march 2008, 150 patients with glass...

background: the incidence of coronary artery bypass grafting surgery (cabg) in elderly patients has been increasing. there are contradictory reports on the early outcome of elderly coronary artery patients as compared with their young counterparts. we designed this retrospective study to address this issue. methods: w e retrospectively analyzed the results of 1489 on–pump cabg cases performed a...

Many children who undergo surgery experience significant perioperative anxiety. Preoperative anxiety can prolong induction of anesthesia and postoperative recovery, increase the risk of postoperative delirium, increase pain, and increase analgesic use. Researchers are looking for ways to treat or prevent preoperative anxiety in children and possibly reduce its negative effects after surgery, su...

    Background: Malnutrition has been linked to poor outcomes after elective joint arthroplasty, but the risk of unplanned postoperative intensive care unit (ICU) admission in malnourished arthroplasty patients is unknown. Methods: 1098 patients were followed as part of a prospective risk stratification program at a tertiary, high-volume arthroplasty center. Chronic malnutrition was defined as ...

background: liver dysfunction during on-pump coronary artery bypass graft surgery (cabg) is a rare complication but is associated with significant morbidity and mortality. the ability to identify high-risk patients may be helpful in planning appropriate management strategies. we aimed to evaluate the factors influencing liver function tests during on-pump cabg. methods: in 146 patients schedule...