Ugeskrift for laeger
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Ugeskrift for laeger · Apr 2008
Review[Lower limb compartment syndrome subsequent to surgery in the lithotomy position].
Lower limb compartment syndrome after prolonged surgery in the lithotomy position is a rare but devastating complication which is termed well leg compartment syndrome (WLCS). The pathogenesis comprises increase in intracompartmental pressure and hypoperfusion, resulting in ischemia and necrosis. By reviewing the PubMed database we found 38 case reports with a total of 58 patients who developed WLCS. Every surgeon should know WLCS as early diagnosis and treatment is essential to avoid severe permanent disability.
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Evidence-based guidelines for perioperative care facilitate the recovery process and decrease morbidity and hospital stay. The aim of this study was to evaluate the availability and content of guidelines for perioperative care in all departments performing colonic resection, nephrectomy, ovarian cancer surgery, pulmonary resection and total knee replacement. ⋯ The number of clinical guidelines is increasing, but there is a need for further implementation of clinical guidelines for perioperative care in order to improve outcome.
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Ugeskrift for laeger · Apr 2008
Case Reports[Traumatic diaphragmatic rupture with displacement of the liver to the right hemithorax].
We report a case of a traumatic diaphragmatic rupture with the liver displaced to the right hemithorax. MR diagnosed the rupture and the displacement of the liver. The patient was operated on and the total right diaphragmatic rupture was reconstructed by suturing. ⋯ Diagnosis may be delayed as a result of variable clinical and radiological signs. It is important to discover the rupture in the acute phase. Treatment is operative.
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Four to eight week prehabilitation programs for smokers and harmful drinkers were included in the national guidelines in 2001. In October 2007 a guarantee for surgery within one month of waiting time came into effect in Denmark. ⋯ Using one specific code for prehabilitation at the surgical department and another for prehabilitation at other departments will enable correct registration. Thereby, it is possible to differentiate between ordinary waiting time before surgery and time for prehabilitation.