Outpatient Anti-reflux Surgery: Re-evaluating the Need for Inpatient Admission Following Laparoscopic Nissen Fundoplication
Lauren Cardella, DO, Sophia Horattas, MD, Christopher R Daigle, MD, Charudutt Paranjape, MD. Cleveland Clinic Akron GeneralIntroduction: Laparoscopic Nissen fundoplication procedures are a safe and effective option for definitive anti-reflux treatment in select patients; however, patient selection criteria for same day discharge remain unclear. A retrospective study was undertaken to evaluate Nissen fundoplication procedures performed… Continue Reading
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PATIENT SPECIFIC FACTORS OF STERILE INFLAMMATION MARKERS OF CONVALESCENCE FOLLOWING LAPAROSCOPIC SURGERY-RESULTS OF A TRIPLE BLIND RANDOMIZED CONTROL STUDY
Nayan Agarwal, Juhil D Nanavati, DNB, Neeraj Dhamija, DNB, Brij B Agarwal, MS, Satish Saluja, MD. Sir Ganga Ram Hospital & GRIPMER, IndiaINTRODUCTION: Enhanced recovery after surgery (ERAS) in post-operative convalescence (POC) following minimally invasive surgery (MIS) is determined by sterile inflammation which is mediated by an interplay between pro/anti-inflammatory and immunosuppressive cytokine cascades (PAIKn).… Continue Reading
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Pilot study of a novel, surgically-administered quadratus lumborum block
Shreya J Shetty, MD, Tiffany Weidner, MD, Hangge Patrick, MD, Tonia Young-Fadok, MD. Mayo Clinic, Scottsdale, AZIntroduction: Quadratus lumborum (QL) blocks are effective for pain control after abdominal surgery, modifying somatic and visceral pain. Published descriptions are for anesthesiologist administration pre- or post-operatively. We present a pilot series of patients undergoing a novel intraoperative ultrasound-guided… Continue Reading
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Post-operative analgesia in colorectal surgery
Federico Sertic, MD, Ashwin Gojanur, Dr, Ahmed Hammad, MD. Guy's and St Thomas' HospitalIntroduction: The aim of this project is to assess the quality of post-operative pain relief in colorectal surgery and identify patients in whom pain management has not been effective, in order to improve the quality of post-operative care. Effective management of post-operative… Continue Reading
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SURGEON-ADMINISTERED TAP BLOCKS WITHIN A NARCOTIC SPARING PAIN MANAGEMENT PATHWAY IN PATIENTS UNDERGOING ABDOMINAL SURGERY IN A RURAL HOSPITAL
Larry M Deppe, MD, FACS1, Christopher A Kasal, MD, FACS1, David R Farley, MD, FACS2. 1Mayo Clinic Health System, 2Mayo Clinic RochesterIntroduction: Data suggests value in using TAP (transversus abdominis plane) neural blockade in abdominal surgical procedures. We deploy TAP blockade using liposomal bupivacaine via ultrasound (US) as part of a narcotic sparing pain management… Continue Reading
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The Impact of Transversus Abdominis Plane Block on Patients in an Enhanced Recovery Bariatric Surgery Pathway
Sydney Pinch, BS1, Tjasa Hranjec, MD2, Sara A Hennessy, MD1. 1UT Southwestern Medical Center, 2Memorial Healthcare SystemIntroduction: A transversus abdominis plane (TAP) block is an ultrasound-guided injection of local anesthetic in the plane between the internal oblique and transversus abdominis muscles to interrupt innervation to the abdominal skin, muscles, and parietal peritoneum. Currently there are… Continue Reading
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To evaluate efficacy and safety of laparoscopic cholecystectomy under spinal anaesthesia
Nikhil Gupta, Rachan Kathpal, Dr, Arun K Gupta, Dr, Dipankar Naskar, Dr, C K Durga, Dr. PGIMER Dr RML Hospital, DelhiIntroduction: Cholecystectomy have shown some advantages when done under spinal anaesthesia (SA) and associated with less intra operative and post -operative morbidity and mortality. Laparoscopic cholecystectomy (LC) under regional anaesthesia alone included patients with coexisting… Continue Reading
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TRANSVERSUS ABDOMINIS BLOCK UTILIZING LIPOSOMAL BUPIVACAINE AS A NON-OPIOD ANALGESIC FOR POST-OP PAIN MANAGEMENT
Thomas C Robertson, MD1, Kathryn Hall2, Susan Bear, PharmD1, Kyle Thompson, PhD1, Keith Gersin, MD1. 1Carolinas Medical Center, 2Virginia TechIntroduction: Opioid-related deaths now outnumber vehicle-related deaths in the United States. The trajectory of opioid addiction usually begins with prescription opioid misuse. Identifying non-narcotic means to treat post-op pain is an intervention to limit patient exposure… Continue Reading
Tranversus Abdominis Plane Block with Liposomal Bupivacaine in Patients Undergoing Laparoscopic Sleeve Gastrectomy Decreases Post-Operative Opiate Use
Alexandra Argiroff, MD, John-Paul Bellistri, MD, Diego R Camacho, MD. Montefiore Medical CenterBackground: The “Opioid Crisis” has taken over headlines with increasing public attention brought to the drastically increasing rates of addiction to prescription narcotics. In 2015, the American Society of Addiction Medicine reported 2 million Americans with an addiction to prescription pain relievers and… Continue Reading
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