Minerva Surgery最新文献_第2页

Clinical evidence and rationale of topical nifedipine and lidocaine ointment in the treatment of anal fissure and hemorrhoidal disease. 外用硝苯地平利多卡因软膏治疗肛裂和痔疮的临床依据和原理。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-13 DOI: 10.23736/S2724-5691.25.10771-5

Gaetano Gallo, Mario Trompetto

{"title":"Clinical evidence and rationale of topical nifedipine and lidocaine ointment in the treatment of anal fissure and hemorrhoidal disease.","authors":"Gaetano Gallo, Mario Trompetto","doi":"10.23736/S2724-5691.25.10771-5","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10771-5","url":null,"abstract":"Introduction: Anorectal conditions such as hemorrhoidal disease and anal fissure are frequently painful and debilitating. Pain after hemorrhoidectomy is also common and distressing. These conditions are at least initially managed conservatively. An ointment formulation containing the calcium channel blocker nifedipine and the local anesthetic lidocaine has an established role in the treatment of rectal conditions, particularly conditions associated with anal sphincter hypertonia such as hemorrhoidal disease and anal fissure. This review aimed to compile the evidence for the use of nifedipine 0.3% and lidocaine 1.5% ointment in treating these common but bothersome anorectal diseases.Evidence acquisition: A comprehensive literature search was conducted, updated to 07 August 2024, using PubMed and MEDLINE databases to identify studies of lidocaine and nifedipine, alone or in combination, for the topical treatment of anal fissure or hemorrhoidal disease. Articles identified in the literature search were supplemented by ad hoc searches and supplemented by relevant literature known to the authors.Evidence synthesis: Nifedipine 0.3% and lidocaine 1.5% ointment is effective in relieving pain and aiding the resolution of thrombosed hemorrhoids, reducing resting anal pressure and healing chronic anal fissures, and controlling pain after hemorrhoidectomy. The ointment was significantly better than controls consisting of topical lidocaine 1.5% alone or in combination with hydrocortisone acetate 1%.Conclusions: Although the available literature on the topical application of nifedipine and lidocaine in anorectal diseases is limited, nifedipine 0.3% and lidocaine 1.5% ointment should be considered a valid treatment option for clinicians treating anorectal diseases. Further studies are warranted to confirm and extend the results reported.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing strategies and effect evaluation of postoperative pain management in patients undergoing laparoscopic gynecological surgery. 腹腔镜妇科手术患者术后疼痛管理的护理策略及效果评价。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10591-6

Yan Li, Lijun Xia, Fei Ren, Zhongping Liu

引用次数: 0

Cohort study of skin contact on growth and development of premature infants and mother-infant relationship in neonatal intensive care unit. 皮肤接触对新生儿重症监护病房早产儿生长发育及母婴关系的队列研究。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10392-9

Denglan Chu, Xueping Zhu, Xueping Zhang

引用次数: 0

Risk factors analysis of patients with non-small cell lung cancer complicated with chronic obstructive pulmonary disease after surgery. 非小细胞肺癌合并慢性阻塞性肺疾病患者术后危险因素分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10673-9

Haitian Li, Xinwei Lu, Ping Wang, Ning Wang, Wenjing Liu, Yamei Song, Jing Wang

引用次数: 0

True or false malignant features on breast mass lesions. 乳房肿块病变的恶性特征真假。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10650-8

Minglu Sun, Yuxin Hou, Yinyan Li

引用次数: 0

Comparison of effects of breast-conserving surgery and modified radical surgery on complications and survival prognosis of patients with breast cancer. 保乳手术与改良根治术对乳腺癌并发症及生存预后的影响比较。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10660-0

Yuyan Cao, Yingchun LE, Xiaofang Tan, Baoqin Lu, Yongqiang Xia, Wenjing Sun

引用次数: 0

The diagnostic value and safety of transbronchial frozen lung biopsy compared with transbronchial clamp biopsy in peripheral lung lesions. 经支气管冷冻肺活检与经支气管钳夹活检对周围性肺病变的诊断价值及安全性比较。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10646-6

Suxian Jing, Ying Shen, Beilei Zhang, Jingyu Mao

引用次数: 0

Enhancing postoperative care and nursing education through internet-based continuity of care for surgical patients. 通过基于互联网的手术患者持续护理，加强术后护理和护理教育。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-04 DOI: 10.23736/S2724-5691.24.10743-5

Manli DU, Junrong Tang, Wen Sun

引用次数: 0

Near-infrared imaging with indocyanine green fluorescence for intraoperative lymphatic assessment in rectal cancer surgery: a systematic review. 近红外成像与吲哚菁绿荧光在直肠癌手术中的淋巴评估：系统综述。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-01 DOI: 10.23736/S2724-5691.25.10731-4

Pier Paolo Brollo, Tommaso Stecca, Adriana DI Giacomo, Marco Massani, Vittorio Bresadola

{"title":"Near-infrared imaging with indocyanine green fluorescence for intraoperative lymphatic assessment in rectal cancer surgery: a systematic review.","authors":"Pier Paolo Brollo, Tommaso Stecca, Adriana DI Giacomo, Marco Massani, Vittorio Bresadola","doi":"10.23736/S2724-5691.25.10731-4","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10731-4","url":null,"abstract":"Introduction: At present, harvesting more lymph nodes is considered more conducive to the prognosis of colorectal cancer surgery. The recent development of enhanced surgical visualization has led to the wide employment of indocyanine green (ICG) to assist minimally invasive surgery. This systematic review aims to provide a wide and critical overview of the current state of the art of ICG lymphography during rectal surgery, by focusing on the most relevant literature on this topic.Evidence acquisition: After validation and registration in the PROSPERO international prospective register of systematic reviews on the 5th May 2024 (ID: CRD42024539426), 8 publications have been considered relevant for the research query and have been divided into two groups: lateral pelvic lymph node dissection (LPLND) and lateral pelvic sentinel lymph node biopsy (LPSLNB). A meta-analysis has not been performed due to the low statistical significance.Evidence synthesis: ICG lymphography seems to improve the number of harvested lateral pelvic lymph nodes, to reduce intraoperative blood loss and hospital length of stay during LPLND. In LPSLNB the detection rate of lateral pelvic sentinel lymph nodes ranged from 91.3% to 92%.Conclusions: ICG lymphography for fluorescence guidance for LLND is a feasible and safe technique, with promising application in terms of the number of harvested lymph nodes and post-operative outcomes improvement during rectal oncological surgery. As some of these benefits have been already suggested by the current literature, they need to be confirmed in larger and randomized clinical.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 1","pages":"86-94"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of efficacy and safety of perioperative albumin administration in major non-cardiac surgery: a systematic review and meta-analysis of randomized controlled trials. 评估重大非心脏手术围手术期白蛋白给药的有效性和安全性：随机对照试验的系统回顾和荟萃分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-01 DOI: 10.23736/S2724-5691.25.10712-0

Mohamed A Boukhlik, Mohamed A Daghmouri, Mohamed A Chaouch, François Depret, Benjamin Deniau

{"title":"Evaluation of efficacy and safety of perioperative albumin administration in major non-cardiac surgery: a systematic review and meta-analysis of randomized controlled trials.","authors":"Mohamed A Boukhlik, Mohamed A Daghmouri, Mohamed A Chaouch, François Depret, Benjamin Deniau","doi":"10.23736/S2724-5691.25.10712-0","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10712-0","url":null,"abstract":"Introduction: Studies suggested that restrictive fluid therapy during major surgery could be associated with better post-operative outcomes. The albumin uses in the perioperative period has been the subject of numerous studies with a still controversial efficacy and safety profile. This study aimed to assess the efficacy and safety of perioperative albumin use during major non-cardiac surgery.Evidence acquisition: This study was registered in PROSPERO (ID: CRD42022353278). We performed an electronic search of the relevant literature from 2000 until 2023. The primary endpoint was the incidence of moderate postoperative complications (defined by a Clavien-Dindo classification grade ≥2). Secondary endpoints were intraoperative fluid balance, intraoperative blood loss, postoperative wound infection and acute kidney injury (AKI).Evidence synthesis: We identified four relevant studies involving 426 patients (213 patients in the albumin group versus 213 patients in the control group). The meta-analysis did not reveal any significant difference between both group regarding the incidence of postoperative moderate complications even after subgroup analyses based on intraoperative or postoperative albumin administration (OR=1.23, 95% CI 0.73, 2.08, P=0.44). No difference was found for intraoperative fluid balance (MD=-190.83, 95% CI -408.67, 27.02, P=0.09), intraoperative blood loss (MD=-27.54, 95% CI -225.55, 170.48, P=0.79) and postoperative wound infection (OR=1.91, 95% CI 0.98, 3.73, P=0.06). Moreover, albumin administration was not associated with a significant increase of AKI incidence (OR=2.02, 95% CI 0.90, 4.53, P=0.09).Conclusions: Perioperative use of albumin during major non-cardiac surgery did not result in an increased incidence of moderate postoperative complications.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":"80 1","pages":"76-85"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0