Dr. Sharvin Sheth’s Post

Nice paper from the Rothman group re chemical prophylaxis after spine surgery. The risk of postoperative hematoma is always there. From the paper "our findings suggest that the delayed chemoprophylaxis protocol may mitigate postoperative hematoma formation without increasing the risk for a thrombotic event". This is what I do, lovenox for high risk only and not immediate. Ideally ambulate with mechanical prophylaxis. https://lnkd.in/gPiyqPRk

Spinal surgery is usually performed to restore movement, a function oftentimes compromised by spinal pathologies. While the painless and comfortable movement of the limbs after the surgery is a sign of success, bowel movement should not be forgotten. Constipation is a common postoperative complication that needs to be detected and addressed early. When the knowledge exists, then the rest is about implementing this knowledge for the sake of the patients and the improvement of their quality of life. Read more about a best practice implementation project in this field in JBI Evidence Implementation's last issue

Skull exposing! Removal of subdural hematoma from posterior segment by neuroseurgeon🧠 *Anasthesia points: •Controlled hypotension during the surgery by propofol and remifentanyl,monitol,duretics>prevention from bleeding •administration of anti inflamation(Dexametason)>decrease brain inflamation •Suddenly drop in pressure after removing>decrease anasthesia agents •avoid adding N2O> Diffusion property of N2O in cavities •applying EEG>to monitor consciousness •monitoring input and output •monitoring bleeding and Blood transfusion if necessary

Cholangiocarcinoma Awareness Month 2024 Facctoid no 13: Why surgery may not be possible There may be a number of factors why surgery to remove #cholangiocarcinoma is not possible. These include the spread of the cancer beyond the liver and bile ducts or a lack of fitness to undergo such major surgery. It may also be that the tumour, even though small, cannot be safely removed due to its involvement with the blood vessels feeding the liver; or that the amount of liver that would be left after surgery would be insufficient. It is important that the decision as to whether a person is operable or inoperable should be arrived at by a knowledgeable and experienced multi-disciplinary team in a centre with experience in the management of cholangiocarcinoma patients. For more information, see: https://lnkd.in/eZksJSNB For information on second opinions and referrals, see: https://lnkd.in/e6s2j_7Q #FebruaryCCAwareness

This study provides an overview of clear lifestyle recommendations for patients before and after thoracic aortic surgery. This overview is the first step because follow-up research is needed on which lifestyle recommendations are necessary and evidence-based. The overview of lifestyle recommendations serves as a foundation, after which individual customization can be provided.

🩺🚨Case of the Week🚨🩺 : Laparoscopic Subtotal Fenestrating Cholecystectomy in a Cirrhotic Patient This case involves a cirrhotic patient with recurrent cholecystitis. Due to the risks, biliary stenting was attempted but was ultimately unsuccessful. The decision was then made to proceed with cholecystectomy. During surgery, it became apparent that the liver bed was too scarred and inflamed to safely skeletonize the cystic artery and duct. As a result, a subtotal cholecystectomy was performed. Key highlights: 1️⃣Risk management in cirrhotic patients 2️⃣Overcoming anatomical challenges 3️⃣Surgical decision-making in challenging circumstances https://lnkd.in/enptqP4d

If you have had back pain for over 6 weeks following surgery then call us today! Did you know? 😳 Up to 40% of patients who undergo back surgery, report persistent pain post-operation. This is often referred to as Failed Back Surgery Syndrome (FBSS). While pain right after surgery can be normal, it shouldn't last longer than 6 weeks. Regenerative medicine can play a vital role in recovery after back surgery and can provide patients with drug-free pain relief that lasts. Schedule an appointment today by calling 303.683.6868. #backpain #premierpainmanagement #backsurgery

The most famous bariatric surgeries are gastric sleeve and gastric bypass. In this article, we will discuss medical gastric bypass surgery by giving you an overview, including the benefits, risks, and what will happen during and after the surgery. https://lnkd.in/edHs2J9w

The Journal of Thrombosis and Haemostasis (JTH) has published results from the PROXY study, which suggests a fixed dose of four-factor prothrombin complex concentrate (4F-PCC) can safely and effectively be used prophylactically to manage clinically relevant levels of Factor Xa inhibitors (XaIs) in patients requiring urgent surgery. The results are available online, with open access.   Learn more about the study here: https://bit.ly/3WT45s7

🚨𝗥𝗲𝘃𝗼𝗹𝘂𝘁𝗶𝗼𝗻𝗶𝘇𝗲 𝘆𝗼𝘂𝗿 𝗽𝗮𝘁𝗶𝗲𝗻𝘁'𝘀 𝗯𝗮𝗰𝗸 𝗽𝗮𝗶𝗻 𝘄𝗶𝘁𝗵 𝗦𝗽𝗶𝗻𝗮𝗹 𝗗𝗲𝗰𝗼𝗺𝗽𝗿𝗲𝘀𝘀𝗶𝗼𝗻🚨 BTL Spinal Decompression, a non-invasive alternative to spine surgery, treats the cause and consequences of back pain. Characteristics such as high efficacy treatment and advanced targeting of impaired segments make this kind of therapy unique in the market for spine-related conditions. Our highly experienced clinical trainer for BTL Spinal Decompression is showing all the possible supine and prone positions for the treatment of the lumbar spine – how many positions have you counted? Let’s see your guesses in the comments below! 👇