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Abdominal - Europe PMC

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Last Updated: 10 August 2022

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The fully engaged inspiratory muscle training reduces postoperative pulmonary complications rate and increased respiratory muscle function in patients with upper abdominal surgery: a randomized controlled trial.

Patients may need Threshold inspiratory muscle training to increase respiratory muscle endurance and endurance. In patients with upper abdominal surgery, we hypothesized that fully engaged IMT could reduce PPCs and improve respiratory muscle function. IMT also had a positive effect on the incidence of postoperative pulmonary problems in comparison to CLT care. Patients undergoing upper abdominal surgery should be fully involved, according to our report that fully engaged inspiratory muscle exercise improves postoperative pulmonary dysfunction in patients undergoing upper abdominal surgery.

Source link: https://europepmc.org/article/MED/35942800


Effects of human tissue acoustic properties, abdominal wall shape, and respiratory motion on ultrasound-mediated hyperthermia for targeted drug delivery to pancreatic tumors.

PanDox is a Phase-1 trial of chemotherapeutic drug delivery to pancreatic tumors using ultrasound-mediated hyperthermia to deliver doxorubicin from thermally sensitive liposomes. Pancreas acoustic properties were varied between values reported in the literature and those determined from our human tissue research findings. Human pancreatic tumor attenuation is 63% of the literature's average, so pancreas treatments do require proportionately higher input intensity to obtain sufficient hyperthermia. Abdominal wall deformation reduced peak field pressure by up to 3. 5 dB and refracted the focal point by up to 4. 5 mm. The 8. 0 °C target was met by more than 80% by respiration pressure during shifting beam hyperthermia production in localized areas overheated by more than 8. 0 °C over the 4. 0 u00b0C volumetric target. Conclusion Conclusions without the use of real time thermometry for targeted drug delivery in pancreatic cancer patients, realistic simulation of the ultrasonic propagation environment is vital to achieving adequate mild hyperthermia.

Source link: https://europepmc.org/article/MED/35853611


T-stage-specific abdominal visceral fat, haematological nutrition indicators and inflammation as prognostic factors in patients with clear renal cell carcinoma.

Clear cell renal carcinoma is the most common histological manifestation of renal cancer, with the highest mortality. After T-stage stratification, the current research aimed at establishing a correlation between abdominal fat composition and short-term prognosis in patients with ccRCC. The results revealed that rVFA in a low T-stage cohort with a history of short-term postoperative complications was significantly lower than those who did not. As a result, rVFA is a reliable predictor of short-term prognosis in patients with low T-stage ccRCC, but not so in patients with high T-stage ccRCC.

Source link: https://europepmc.org/article/MED/35285399


A New Method for Quantifying Abdominal Aortic Wall Shear Stress Using Phase Contrast Magnetic Resonance Imaging and the Womersley Solution.

Wall shear stress is a key mediator of cardiovascular pathologies, and its reliable evaluation as a potential prognostic indicator is required. The goal of this study was to produce a method that quantifies WSS from two-dimensional phase contrast magnetic resonance imaging derived waveforms, apply this technique to PCMR results gathered in healthy volunteers' abdominal aorta, and compare PCMR-derived WSS values to those predicted from a numerical fluid dynamics simulation. The procedure uses PCMR-derived flow versus time waveforms constrained by Womersley's solution for pulsatile flow in a cylindrical tube. Although comparisons of TAWSS between the PCMR-based approach and CFD forecasts reveal that the PCMR method underestimated instantaneous WSS by 3. 7 dyn/cm2 at a correlation coefficient of 0. 88, comparison of WSS results between the PCMR-based approach and CFD forecasts shows that the PCMR-based approach underestimated instantaneous WSS by 3. 8 dyn/cm2 indicates that the PCMR-based approach underestimated 3. 7 u00b1 at versus CFD and the PCMR-based method and CFD-based method underestimatedoutput versus CFD-based method underestimated ed 3. 2 3. 7 0. 7 4. 2 3. 6 3. 2 3. 7 3. 8 3. 7 u00b1 0. 7 3. 7 1. 8 1. 3 1. 2 3. 2 3. 6 3. 4 3. 7 3. 2 wSS using 0. 6 3. 2 3. 7 6. 6 3. 7 u00b1 3. 2 &cm2 3. 2 adyn/cm2 3. 7 0. 6 3. 6 3. 7 3. 6 0. 9 3. 6 3. 7.

Source link: https://europepmc.org/article/MED/35377416


A Finite Element-Based Analysis of a Hemodynamics Efficient Flow Stent Suitable for Different Abdominal Aneurysm Shapes.

All of the key metrics used for the analysis of aneurysm occlusion and potential rupture are estimated by PFS intervention; the flow velocity, pressure, wall shear stress; and WSS-related indices; and WSS-related indices. For PFS deployment, the flow velocity reduction inside the aneurysm sac is between 55% to 80%, while the time-averaged wall shear stress reduction is in the range of 52% to 53%. PFS may be able to treat an aneurysm safely with a procedure that leads to aneurysm resorption and ultimately leads to aneurysm resorption.

Source link: https://europepmc.org/article/MED/35237800


"Closed Incision Negative Pressure Therapy (ciNPT) reduces abdominal donor site surgical wound dehiscence in Deep Internal Epigastric Perforator (DIEP) flap breast reconstructions: DEhiscence PREvention Study II (DEPRES II) - a Randomized Clinical Trial".

Background In breast reconstruction surgeries, surgical wound dehiscence is a common problem that puts a strain on patients and healthcare services. Wound dehiscence rates have decreased as a result of postoperative treatment with closed incision negative pressure therapy, according to reports. In low- and high-risk patients undergoing a breast reconstruction with a deep internal epigastric perfusion flap, a randomized clinical trial investigates the effects of ciNPT application on abdominal donor site surgical wound dehiscence in abdominal donor site surgical wound dehiscence. On a follow-up after 12 weeks, primary outcomes were surgical wound dehiscence and surgical site infection at the abdominal donor site. In 23 patients, Donor-site surgical wound dehiscence was present; the Absolute Risk Reduction was statistically significant. Conclusions and Conclusions: In this randomized clinical trial, postoperative ciNPT treatment reduced the risk of surgical wound dehiscence at the abdominal donor site in low- and high-risk DIEP flap breast reconstruction patients.

Source link: https://europepmc.org/article/MED/35943913


Potential spectrum of accompanied penetrating abdominal intra-peritoneal injuries with bowel evisceration: Surprises awaiting the trauma Surgeon in resource limited settings.

Penetrating abdominal injuries can include defilement of the peritoneal cavity and injuries to solid organs, as well as other intra-peritoneal viscera such as large blood vessels and hollow organs. The trauma surgeon in civilian urban centers faces a variety of injuries similar to his colleague in war torn areas, with rise in crime rates and motor vehicle accidents in urban areas. Four cases of penetrating abdominal injuries are illustrated with assault styles ranging from Gunshot wounds to stab wounds with broken bottles to illustrate the intra-abdominal spectrum of injuries, challenges in diagnosis, and emergency response services in a resource limited environment.

Source link: https://europepmc.org/article/PPR/PPR529789


Imaging characteristics and diagnostic accuracy of FDG-PET/CT, contrast enhanced CT and combined imaging in patients with suspected mycotic or inflammatory abdominal aortic aneurysms.

Materials and methods In this single-center retrospective cohort research, all imaging data sets of 29 consecutive patients with clinically suspicious MAA or IAA were anonymised with different, reshuffled identification numbers, and retrospectively and independently reviewed by two senior readers blinded to all clinical patient data. In diffiating AAA from MAA and IAA: area under the receiver operating characteristic curve 0. 81 to 0. 63 degrees, diagnostic accuracy was higher in PET/CT as compared to CE-CT in differentiating AAA from MAA and IAA: area under receiver operating characteristic curve 0. 81 to 0. 63. In PET/CT and wall thickening, we saw peak metabolic sensitivity and dorsal sparing of metabolic activity; fat stranding and fluid accumulation in CE-CT were typical of IAA; low metabolic acitivity and absence of wall thickening, as well as poor fat stranding and absence of wall thickening were typical for non-infected, non-inflammatory AAA; rather, poor metabolic adipism, poor metabolic toxicity, lack of wall thickening.

Source link: https://europepmc.org/article/MED/35944039


Post-partum abdominal wall insufficiency syndrome (PPAWIS): lessons learned from a single surgeon's experience based on 200 cases.

Background: Post-partum abdominal wall insufficiency with rectus diastasis is present in over 30% of women after pregnancy. This research was conducted to investigate the effectiveness of onlay mesh containing abdominoplasty as well as its effects on patient well-being. Method Two hundred patients with PPAWI underwent surgery for onlay mesh and abdominoplasty, which was used in PPAWI. Before the surgery and six months later, a questionnaire collecting information about the patient's sexual and social life, as well as the presence of back pain was completed. Results The onlay procedure of abdominoplasty was found to be safe and quick. In all patients, back pain was either alleviated or minimalized. The patients' symptoms were strongly connected to the morphological stability of the front abdominal wall and improved after the surgery. Describing the psychological and social risks of PPAWI could lead to the surgical societies to develop a new disease named PPAWIS.

Source link: https://europepmc.org/article/MED/35941642


Abdominal pain and fever in a patient with human immunodeficiency virus: a case report.

It has been reported in a patient with HIV who was not neutropenic on presentation, but not in a patient with neutropenia. On arrival, we describe the case of a patient with HIV who was not neutropenic on appearance but later found to have NE. Presentation of Case An example of a 27-year-old male with a history of HIV treatment and epilepsy was greeted with fear of a breakthrough seizure. Initial labs were ranked as white blood cell count 3. 9 e-d7 10 9 /L, absolute neutrophil count 3. 1 u00d7 10 9 /L, CD4 count 290 cells/mm 3, and undetectable viral load. However, even with a normal ANC and CD4 count above 200 cells/mm 3, it should be considered in patients with HIV presenting with these signs.

Source link: https://europepmc.org/article/MED/35941531

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions