Mayo Clinic proceedings
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Mayo Clinic proceedings · Sep 2011
Patients' perspective on full disclosure and informed consent regarding postoperative visual loss associated with spinal surgery in the prone position.
To determine patients' opinions regarding the person, method, and timing for disclosure of postoperative visual loss (POVL) associated with high-risk surgery. ⋯ At least 80% of patients prefer full disclosure of the risk of POVL, by the surgeon, during a face-to-face discussion before the day of scheduled surgery. This finding supports development of a national patient-driven guideline for disclosing the risk of POVL before prone spinal surgery.
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Mayo Clinic proceedings · Sep 2011
Robotic mitral valve repair for all categories of leaflet prolapse: improving patient appeal and advancing standard of care.
To characterize the early outcomes of robotic mitral valve (MV) repair using standard open techniques. ⋯ Robot-assisted MV repair using proven, conventional open-repair techniques is reproducible and safe and hastens recovery for all categories of leaflet prolapse. One month after surgery, significant regression in left ventricular size and volume is evident.
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Elderly patients who have an acute illness or who undergo surgery often experience cognitive decline. The pathophysiologic mechanisms that cause neurodegeneration resulting in cognitive decline, including protein deposition and neuroinflammation, also play a role in animal models of surgery-induced cognitive decline. ⋯ This special article is based on a symposium that the University of California, San Francisco, convened to explore the contributions of surgery and anesthesia to the development of cognitive decline in the aged patient. A road map to further elucidate the mechanisms, diagnosis, risk factors, mitigation, and treatment of postoperative cognitive decline in the elderly is provided.