Abstract:
:Bupivacaine wound infiltration together with efficient esophagogastric decompression and immediate elemental feeding in 43 consecutive, well-instructed patients who had undergone cholecystectomy reduced their postoperative analgesia requirements to an average of 17 (+/- 46, SD) mg of meperidine during the initial 24 hours. No analgesics were requested by 35/43 patients (81%) and 40/43 were discharged within 24 hours of surgery. All 86 conventionally treated control patients required narcotics, averaging 4.4 (+/- 0.3, SD) doses and amounting to 290 (+/- 25, SD) mg of meperidine or its equivalent during their first postoperative day and were discharged in 6.5 (+/- 0.7, SD) days. None were discharged in less than 3 days. Home interview by a visiting nurse was carried out for a block of 19 treated patients and their families. Six patients were interviewed prospectively within 33 to 64 hours of surgery, with a repeat visit 1 to 2 months later. Retrospectively studied patients were only seen 1 to 4 months after surgery. These interviews confirmed the patients' and their families' satisfaction with their bodily functions, their limited discomfort, and their independence from the hospital. Wound infiltration with a long-acting local anesthetic, efficient removal of swallowed air, and immediate, full enteral nutrition contribute to reduced postoperative pain and narcotic use in well-instructed patients, thus leading to safe and satisfactory early discharge.
journal_name
Surgeryjournal_title
Surgeryauthors
Moss G,Regal ME,Lichtig Lsubject
Has Abstractpub_date
1986-02-01 00:00:00pages
206-10issue
2eissn
0039-6060issn
1532-7361pii
0039-6060(86)90186-8journal_volume
99pub_type
杂志文章相关文献
SURGERY文献大全abstract:BACKGROUND:Physiologic and psychological stress are commonly experienced by operating room (OR) personnel, yet there is little research about the stress levels in OR teams and their impact on performance. Previously published procedures to measure physiologic activation are invasive and impractical for the OR. The purp...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.04.009
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Up to 70% of children with small bowel transplantation (SBTx) experience acute cellular rejection (ACR). Allospecific CD154+ T cells predict liver ACR in children in a novel, 16-hour mixed leukocyte response (MLR) assay, but remain untested in SBTx. METHODS:The expression of CD154 was measured in 4 subsets-...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2009.04.006
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine if systemic acidosis induced by peritoneal absorption of carbon dioxide (CO2 ) during laparoscopy plays a role in CO2 pneumoperitoneum-mediated attenuation of the acute phase inflammatory response associated with perioperative sepsis. The influence of hepatic polymo...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2005.01.005
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:We studied stagnation of the blood in hepatic metastatic lesions of colorectal cancer. METHODS:Twenty-two hepatic tumors in 11 patients with liver metastases of colorectal cancers were investigated in this study. With a catheter inserted into the roots of the proper hepatic artery, 5 to 10 mCi 133Xe was inj...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::Resection of a dissecting aneurysm of the descending thoracic aorta (Type III) was accomplished in a uremic patient on hemodialysis with reconstruction of blood flow through extrathoracic bilateral axillary-subclavian-iliac Dacron grafts. Review of the literature revealed no similar operation reported before. Other po...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1975-02-01 00:00:00
abstract:BACKGROUND:A stereotype of surgeons' personality persists in the general public and among health-care professionals. Only a few studies have attempted to describe this "surgical personality" in detail. The aim of this study was to investigate the personality traits of surgeons compared with internists and to prove the ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2010.03.001
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:The development of liver failure significantly influences prognosis during the course of major septic complications. Although the underlying cause for septic liver failure is still unclear, research using animal models has demonstrated that an increased nitric oxide (NO) synthesis compromises detoxification ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2006.08.011
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Patients with primary mediastinal lymphomas frequently present with a residual mass after completion of first-line therapy. Although a positron emission tomography scan is usually recommended, it fails to distinguish between persistent lymphoma and inflammation. Although percutaneous biopsy may have a high d...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.05.039
更新日期:2018-10-01 00:00:00
abstract::The central venous dialysis catheter has gained wide acceptance for short-term hemodialysis with the realization of the need to spare peripheral extremity vessels for the creation of more durable internal arteriovenous fistulas. The Hemocath (Quinton Instrument Co., Seattle, Wash.), a soft, silicone rubber, double-lum...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract::It is now well accepted that mesoatrial bypass is an efficient treatment of Budd-Chiari syndrome and that it is indicated when the inferior vena cava is obstructed. This report presents a patient in whom the superior mesenteric vein was thrombosed after a previous mesocaval shunt. A bypass was constructed between the ...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:Neuroendocrine tumors (NETs) are a potentially lethal component of multiple endocrine neoplasia type 1 (MEN 1). Somatostatin receptor scintigraphy (SRS) can be used to localize NETs and evaluate patients for extraduodenopancreatic disease; its utility in managing MEN 1 is undefined. METHODS:All patients wit...
journal_title:Surgery
pub_type: 临床试验,杂志文章
doi:10.1067/msy.1998.92553
更新日期:1998-12-01 00:00:00
abstract::In patients with primary hyperparathyroidism, measurements were made of basal and stimulated levels of intact parathyroid hormone (PTH). The basal PTH values were elevated in all but six of 89 patients and provided clear separation towards normal individuals (n = 75) and patients with hypercalcemia of other origin (n ...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1991-07-01 00:00:00
abstract:BACKGROUND:Growth hormone supplementation has been shown to stimulate muscle protein synthesis and to improve nitrogen balance in a variety of catabolic states. The role of growth hormone to support the tumor-bearing host is complicated by the risk that growth hormone or its intermediaries may stimulate tumor growth. T...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/s0039-6060(05)80199-0
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:An assessment was made of operative risk and outcome after parathyroidectomy for primary hyperparathyroidism. METHODS:A retrospective study was conducted in a single center university hospital in Switzerland. The 173 patients (130 women and 43 men) ranged from 17 to 89 years of age (mean, 62.0 years). No ro...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/s0039-6060(05)80058-3
更新日期:1995-04-01 00:00:00
abstract:BACKGROUND:Biologic mesh choice in ventral hernia repair is challenging due to lack of prospective data. This study examines long-term, single-center biologic mesh outcomes. METHODS:Prospective operative outcomes data was queried for open ventral hernia repair with biologic mesh. Univariate and multivariate analysis w...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2016.07.008
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The prognostic role of lymph node metastases in well-differentiated thyroid carcinoma remains controversial. We investigated impact of lymph node involvement on survival in patients with well-differentiated thyroid cancer. METHODS:We queried the Surveillance, Epidemiology, and End Results registry for patie...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.08.034
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:To clarify the biologic behavior of the early signet-ring cell cancers (SRCs) by comparing the clinicopathologic features and the incidence of lymph node metastasis between different histologic types of early gastric cancer (EGC) and to propose the indications of endoscopic surgery for SRCs. METHODS:Clinico...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2010.07.006
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION:Hepatocyte cell transplantation can be life-saving in patients with acute liver failure (ALF); however, primary human hepatocyte transplantation is limited by the scarcity of donor hepatocytes. We investigated the effect of stem cell-derived, hepatocyte-like cells in an animal xenotransplant model of ALF. ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2015.04.014
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Alcoholism is the leading cause of end-stage liver failure in the United States, but the application of liver transplantation to the treatment of alcoholic liver disease remains controversial because of medical and ethical concerns. Information about the outcome of patients who undergo transplantation for al...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:To assess trainee satisfaction in their surgery residency with a validated instrument and identify the contributing factors. BACKGROUND:Currently, surgery is deemed unattractive by medical students and ignored by many candidates planning to enter an academic career. New insights on the rational for such lack...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2011.07.037
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Crohn's disease (CD) and ulcerative colitis (UC) are chronic inflammatory diseases, and their pathogenesis is attributed, in part, to alterations of the mucosal immune system. This study was designed to define the possible contribution of epithelial cells to the activation of lamina propria T lymphocytes (LP...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/s0039-6060(97)90091-x
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND AND AIMS:The optimal protocol of the treatment for early gastric cancer has not been fully established. The current study was designed to elucidate the relationship between the depth of tumors with or without an ulcer and the presence of lymph node metastasis and to establish the optimal and practical therap...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1067/msy.2001.114217
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:The reversibility of the morphologic and functional alterations that occur in veins transplanted into the arterial circulation was examined in this study. METHODS:Common carotid vein bypass grafts (VG) were performed in 20 male New Zealand White rabbits. Ten VG and jugular veins (CV) were harvested after 14...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND:Pediatric umbilical hernia repair is a common procedure that requires minimal tissue disruption. We examined variation in opioid prescription fills after repair of uncomplicated umbilical hernias to characterize the types and doses of medication used and persistent postsurgical use. METHODS:Using the Truven...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2018.10.029
更新日期:2019-04-01 00:00:00
abstract::Formation of biliary calculi caused by hemobilia is rare. Including the two cases reported here, there are only a total of four in the literature. The characteristics of these calculi in vitro, on computerized tomographic scan, and cholecystography are described. The condition for the occurrence seems to be that blood...
journal_title:Surgery
pub_type: 杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract:BACKGROUND:Anastomotic leakage after gastrointestinal operation is a complication difficult to manage because conservative therapy and/or reoperation may be unsuccessful and carry the risk of increased morbidity and mortality. The endoscopic use of tissue sealants appears to be a promising alternative to avoid operatio...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2014.06.002
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Laparoscopy has become an increasingly important diagnostic tool for the staging of intraabdominal malignancies. Some investigators have suggested laparoscopy to be of questionable value in the preoperative staging of gastric cancer because many patients may require palliative surgery despite laparoscopic fi...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/s0039-6060(96)80184-x
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Activated nuclear factor-kappaB (NF-kappaB) is associated reportedly with the pathogenesis of numerous malignancies. This study investigated whether a common insertion (ins)/deletion (del) polymorphism (-94 ins/del ATTG) in the NFKB1 promoter is associated with susceptibility to gastric cancer and its tumor ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2008.11.001
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Carotid endarterectomy (CEA) reduces the risk of stroke in selected patients with symptomatic and asymptomatic carotid disease, but its beneficial influence on cognitive performance in the elderly remains debatable. This prospective study sought to determine early and long-term neurocognitive outcomes after ...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/j.surg.2011.06.031
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Very late activation-2 (VLA-2) is an integrin receptor for laminin that consists of an alpha 2- and a beta 1-subunit. In human breast cancer, down-regulation of VLA-2 expression is related to positive nodal status. The functional significance of altered integrin expression in individual patients has never be...
journal_title:Surgery
pub_type: 杂志文章
doi:10.1016/s0039-6060(05)80330-7
更新日期:1995-08-01 00:00:00