Articles: surgery.
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Minerva anestesiologica · Dec 2024
A randomized clinical trial comparing different combination of peripheral nerve blocks for intraoperative analgesia in patients on antithrombotic drugs undergoing hip fracture surgery: pericapsular nerve group (PENG) block versus femoral and obturator nerve block.
Locoregional anesthesia is commonly used in orthopedic trauma surgery, particularly in elderly patients. We conducted a prospective, monocentric, randomized controlled trial to evaluate the anesthetic and analgesic efficacy of pericapsular nerve group (PENG) block in patients on antithrombotic drugs undergoing hip fracture surgery, comparing it with femoral and obturator nerve block (FNB+ONB). ⋯ Our results suggest that PENG block is not inferior to FNB + ONB as anesthetic and analgesic technique in patients on antithrombotic drugs undergoing hip fracture surgery.
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Ulnar nerve entrapment at the elbow is a common neurological entrapment neuropathy. Previous research has shown that surgical treatment can be highly successful. Only a few studies have reported on long-term outcome after surgery. In this study, we report on the long-term follow-up after surgery for ulnar nerve compression at the elbow. ⋯ We may conclude that the surgical treatment is also successful in the long term.
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Although T2 gallbladder cancer (GBC) incidentally diagnosed after cholecystectomy requires additional resection, the surgical approaches are technically difficult due to inflammatory adhesion or fibrosis around the hepatoduodenal ligament and gallbladder bed. In this study, we sought to compare the surgical and oncologic outcomes of open and minimally invasive reoperation for postoperatively diagnosed T2 GBC. ⋯ The results indicate that laparoscopic reoperation for postoperatively diagnosed T2 GBC has favorable postoperative outcomes and similar oncologic safety compared with open surgery.
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Radio-ulnar synostosis is a rare complication which develops following forearm trauma, the main manifestation being stiffness and leading to the loss of pronation and supination. For the patient, it is a very frustrating experience due to the impairment of the normal function of the forearm, whereas for the surgeon the treatment is difficult as, unfortunately, there is no consensus regarding the best way to approach it. Many surgical techniques and other kinds of adjuvant therapies have been developed in an effort to solve this disability. This paper presents an overview of the principal factors which contribute to the development of synostosis and the best therapeutic approach methods found in the literature.