Low-pressure pneumoperitoneum with intraoperative dexmedetomidine infusion in laparoscopic cholecystectomy for enhanced recovery after surgery: A prospective randomised controlled... by Sucheta Gaiwal, J H Palep, Rohini Mirkute, Nimitha Prasad, Mehta Kush

“…Aim: To evaluate combined effect of low-pressure pneumoperitoneum and intra-operative dexmedetomidine infusion in laparoscopic cholecystectomy for ERAS. Patients and Methods: 160 patients of American Society of Anaesthesiologists (ASA) score 1 and 2, undergoing elective laparoscopic cholecystectomy were randomized into low pressure pneumoperitoneum (10-12 mmHg) and standard pressure pneumoperitoneum (13-15 mmHg) groups. …”
Get full text

The role of the modified Glasgow prognostic score in predicting postoperative mortality following open-heart surgery by Burak Toprak, Abdulkadir Bilgiç

“…This study aimed to evaluate the prognostic value of preoperative and early postoperative Modified Glasgow Prognostic Score in predicting early outcomes in patients undergoing open heart surgery, with the goal of improving patient stratification and surgical decision-making. Methods A retrospective review of medical records was conducted for 456 patients who underwent open heart surgery between January 1, 2022, and October 1, 2024. …”
Get full text

Perioperative intranasal dexmedetomidine for the prevention of chronic postsurgical pain following thoracoscopic surgery: protocol for a multicentre randomised controlled trial by Yuelun Zhang, Le Xu, Lu Che, Le Shen

“…The aim of this multicentre randomised controlled trial is to investigate the efficacy of perioperative intranasal dexmedetomidine to optimise sleep and reduce the incidence of CPSP.Methods and analysis This prospective, randomised controlled trial will enrol 364 patients undergoing elective VATS. …”
Get full text

Impact of Spine Surgery on Psychosexual Functioning, Marital Satisfaction, and Quality of Life: A Cross-sectional Study by Mohammad Jasim Hussain, Purushotham Sastri, Raj Kiran Donthu, Shivananda Manohar J, TSS Rao

“…Aim: Evaluate sexual functioning, marital satisfaction, and QOL in patients undergoing spine surgery. Materials and Methods: This prospective, questionnaire-based study was conducted from December 2022 to June 2023. …”
Get full text

Intraoperative Administration of Esketamine is Associated with Reduced Opioid Consumption After Laparoscopic Gynecological Surgery: A Randomized Controlled Trial by Huan C, Zhang T, Jiang Y, He S, Jin J

“…Chen Huan, Ting Zhang, Yiling Jiang, Shuangyu He, Juying Jin Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of ChinaCorrespondence: Juying Jin, Department of Anesthesiology The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Chongqing, 400016, People’s Republic of China, Tel +86-23-89011069, Fax +86-23-89011068, Email juyingjin@hotmail.comPurpose: To explore the postoperative opioid-sparing effect and incidence of adverse events of different dosages of intraoperative esketamine administration in patients undergoing laparoscopic gynecological surgery.Patients and Methods: Patients undergoing elective gynecological laparoscopic operation was enrolled and randomly allocated to lower-dose esketamine group, higher-dose esketamine group, or control group. …”
Get full text

Mixed reality-assisted versus landmark-guided spinal puncture in elderly patients: protocol for a stratified randomized controlled trial by Lei Gao, Haichao Zhang, Yidi Xu, Yanjun Dong, Lu Sheng, Yongqian Fan, Chunhui Qin, Weidong Gu

“…This stratified randomized controlled trial aims to compare the effectiveness of mixed reality-assisted spinal puncture (MRasp) with that of landmark-guided spinal puncture (LGsp) performed by novice practitioners in elderly patients. Methods This prospective, single-center, stratified, blocked, parallel randomized controlled trial will include 168 patients (aged ≥ 65 years) scheduled for elective surgery involving spinal anesthesia. …”
Get full text

Ophthalmic surgeries at a Nigerian teaching hospital from the perspectives of undergraduate medical education by Abdulraheem Olarongbe Mahmoud, Abdulkabir Ayansiji Ayanniyi, Yinka Ologunsua, Susannah Adepoju

“…Background: An appraisal of the profile of ophthalmic surgeries performed at Ladoke Akintola University of Technology Teaching Hospital (LAUTECHTH), Ogbomosho, Nigeria over a seven-year period with a view to harnessing their potentials for maximising ophthalmic experiences of medical students. Methods: A retrospective review of ophthalmic surgery records over a seven-year period (2013–2019) at LAUTECHTH. …”
Get full text

Pregnant women with diabetes and their clinician's experience of participating in a pilot randomised controlled trial of corticosteroid administration in late pregnancy: A qualitat... by Linda Sweet, Vidanka Vasilevski, Lee‐Anne Lynch, Joanne M. Said

“…Methods Women and clinicians participating in the pilot trial were invited to complete a telephone interview regarding their experiences of participating. …”
Get full text

Routine histopathological examination of femoral heads and incidental metastatic bone disease in hip arthroplasty by Olgar Birsel, Lercan Aslan, İlker Eren, Mehmet Ali Deveci, Aykın Şimşek

“…Objective: This study aimed to assess the necessity of routine pathological examination of femoral heads in detecting incidental metastatic bone disease in patients undergoing elective and emergency hip arthroplasty. Methods: A retrospective review was conducted on medical records, operative notes, and histopathology reports of patients who underwent hip arthroplasty between 2016 and 2024. …”
Get full text

Rectal misoprostol after cesarean delivery: does it affect recovery of bowel functions? A prospective randomized trial by N.K. Aref

“…Aim: To assess the efficacy of rectally administered misoprostol in the improvement of bowel function recovery after cesarean delivery (CD). Methods: This prospective randomized trial was conducted among 171 pregnant women subjected to term elective CD. …”
Get full text

Effects of ultrasound-guided transversus abdominis plane block with combined dexmedetomidine and dexamethasone on the stress and immune function by Changsheng Su, Guoshao Zhu, Zhenming Kang, Shunyuan Li, Wenqin Xie

“…However, the duration of TAP block is often limited by the pharmacokinetics of local anesthetics, and evidence regarding optimal adjuvant combinations to prolong its efficacy remains scarce. Methods In this prospective, randomized controlled trial, 160 patients undergoing elective laparoscopic colectomy were randomly assigned to four groups (n = 40 each): Control (ropivacaine alone), Dexmedetomidine group (ropivacaine + dexmedetomidine), Dexamethasone group (ropivacaine + dexamethasone), and Combination group (ropivacaine + dexmedetomidine + dexamethasone). …”
Get full text

Acute changes in left ventricle end-diastolic pressure in patients undergoing nonprimary percutaneous coronary intervention by Arjun Tandon, Salini Mukhopadhyay, Soumik Ghosh, A. Lavakumar, Kumar Amit, Vikas Agrawal

“…This study investigates the acute changes in LVEDP during nonprimary PCI. Materials and Methods: The study was conducted on 100 patients undergoing nonprimary PCI at a tertiary hospital. …”
Get full text

Results of 1‑year follow‑up after umbilical hernia with rectus abdominis muscle diastasis repair using endoscopic subcutaneous onlay approach (SCOLA) by Mindaugas Kiudelis, Matas Pažusis, Linas Venclauskas, Eglė Kubiliūtė, Algirda Venclauskienė

“…Aim: The aim of this study was to analyze the results of 1-year follow-up in patients after umbilical hernia with rectal abdominal muscle diastasis repair using endoscopic SCOLA. MateriaLs and methods: Our prospective cohort study included patients who underwent elective surgery for small- (<⁠2 cm) and medium- (2–4 cm) size primary umbilical hernia with diastasis recti. …”
Get full text

Preoperative Consultations and Their Effect on Surgical Delays and Mortality in Hip Fracture Surgery by Ekin Kaya Şimşek, Barış Kafa, Bahtiyar Haberal

“…This study aims to elucidate the necessity of consultations for those undergoing femoral neck fracture surgery, examining their influence on delays, hospital durations, and their correlation with mortality rates. Methods The study examined data from 320 emergency department patients with femoral neck fractures undergoing hip arthroplasty surgery at our hospital between 2011 and 2021, using digital medical records. …”
Get full text

Fentanyl Versus Lidocaine Intravenously to Attenuate Hemodynamic Effects of En-dotracheal Intubation by Hozan Abdulwahid Ahmed, Amir Murad Khudadad Boujan, Othman Ismat Abdulmajeed

“…In this study, we compared the efficacy of intravenous fentanyl and intravenous lidocaine in attenuating the hemodynamic responses during laryngoscopy and intubation. Methods: A total of 100 adult patients, American Society of Anesthesiologists physical status I and II from both gender aged 18 to 65 years undergoing various elective surgeries under general anesthesia, were included in this prospective, randomized, single-blind study. …”
Get full text

Laparoscopic left and right adrenalectomy from an anterior approach – is there any difference? Outcomes in 176 consecutive patients by Lukas Kokorak, Marek Soltes, Peter Vladovic, Lubomir Marko

“…Results: One hundred seventy-six patients underwent elective laparoscopic adrenalectomy – 80 left-sided (45.45%) and 96 right-sided (54.55%). …”
Get full text

Predicting postoperative pulmonary infection risk in patients with diabetes using machine learning by Chunxiu Zhao, Bingbing Xiang, Jie Zhang, Pingliang Yang, Qiaoli Liu, Shun Wang

“…However, precise predictive models specific to this patient group are lacking.ObjectiveTo develop and validate a machine learning model for predicting PPI risk in patients with diabetes.MethodsThis retrospective study enrolled 1,269 patients with diabetes who underwent elective non-cardiac, non-neurological surgeries at our institution from January 2020 to December 2023. …”
Get full text

Effects of Remazolam and Propofol on hemodynamics and postoperative cognitive function during induction of anesthesia in elderly patients undergoing laparoscopic surgery by Zou Qi, Chen Min, Liu Jinghua

“…[Objective] To investigate the effects of Remazolam and Propofol on hemodynamics and postoperative cognitive function during anesthesia induction in elderly patients undergoing laparoscopic surgery. [Methods] 116 elderly patients undergoing elective laparoscopic surgery in Yibin Hospital, West China Hospital, Sichuan University from December 2022 to March 2024 were selected as the study subjects and divided into observation group and control group according to random number table, with 58 cases in each group. …”
Get full text

Randomized Control Trial Comparing Effects of Tourniquets on Neurology and Functional Outcomes after Total Knee Arthoplasty by Gur-Aziz Singh Sidhu, Saphalya Pattnaik, Mothana Gawad, Rafia Ghani, Harjot Kaur, Neil Ashwood

“…The literature reveals a divided opinion on whether TKA should be performed with or without a tourniquet, with conflicting results on post-operative pain, blood loss, and functional outcomes.. Materials and Methods: This study included patients aged 65 to 90 years undergoing elective unilateral TKA for osteoarthritis. …”
Get full text

Optimal timing for cholecystectomy: unveiling insights from a decade-long study on acute cholecystitis and symptomatic cholecystolithiasis by Azhy Muhammed Dewana, Amanj Jalal Namq, Baderkhan Saeed Ahmed, Ahmed Abdulkadir Baban

“…Objectives To compare surgical results, morbidity, and mortality and determine the best timing for surgical intervention among patients with gallstones. Patients and methods This prospective cohort study was conducted in Erbil Teaching Hospital, Erbil, Iraq, from January 2013 to December 2023 on 767 patients with acute cholecystitis or symptomatic cholecystolithiasis. …”
Get full text