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Understanding gallbladder attacks: Causes, symptoms, and the common cure

If you've ever felt severe pain or discomfort after eating a large meal – it might stem from a gallbladder attack. This sort of attack can follow a meal by abou

United-states , Andrew-karanas , Health-medical-group , General-surgeon , Health-medical-pharma , Abdominal-pain , Gallbladder , Biliary-colic , Cholecystectomy , Gallbladder-disorders , Hepatology , Porcelain-gallbladder

Myths vs. Facts: Understanding the thyroid-obesity relationship |

Dispelling myths surrounding hypothyroidism-induced weight gain and understanding the complex relationship between thyroid function and obesity.

Mumbai , Maharashtra , India , Aparna-govil-bhasker , Sonam-kapoor , Bariatric-surgery-center , Laparoscopic-surgeon , Apollo-spectra-hospitals , Weight-gain , Thyroid-obesity-relationship , Thyroid-hormones , Thyroid-function

Postoperative Analgesia for Abdominal Laparoscopic Surgery: Tap Block vs Peri-Orificial Infiltrations

Introduction/Purpose: The “transverse abdominal plane block” or TAP block was described by Rafi in 2001. It describes an approach to the neurofascial plane of the transverse abdominal muscle via the Jean-Louis Petit triangle and provides analgesia of the entire homolateral hemi abdomen. The aim of our study was to compare post-operative analgesia and post-operative morphine requirements between transverse abdominal plane block (TAP) and peri-orificial infiltration during laparoscopic abdominal surgery. Material and method: Prospective, randomized study conducted over a 2-year period. The study was conducted in the operating theatre of the Saint Louis Regional Hospital in Senegal. All adult patients undergoing laparoscopic abdominal surgery were included. Clinical aspects, pain scales and morphine consumption were analyzed. Results: A total of 60 patients were enrolled: 30 patients in the TAP group and 30 patients in the infiltration group. The average age was 32.9 years. The indications for laparoscopy were acute appendicitis in 50% of cases, gallbladder stones in 16% and inguinal hernia in 8%. For the TAP group, the mean numerical pain scale was 3.9 at 6 hours post-operatively and 2.1 at 24 hours post-operatively. For the infiltration group, the mean numerical pain scale was 4.3 at 6 hours post-op and 3 at 24 hours post-op. Morphine consumption at 6 hours post-op was on average 0.4 mg/patient for the TAP group and 0.9 mg/patient for the infiltration group. Discussion/conclusion: Analgesia provided by ultrasound-guided TAP block for laparoscopic abdominal surgery appears to be identical to periorificial infiltration. However, the simplicity and reproducibility of ultrasound-guided TAP block gives it a definite advantage.

Senegal , France , French , Jean-louis-petit , Mc-donnell , Mac-donnell , French-society-of-anesthesia , Saint-louis-regional-hospital , Saint-louis , French-society , Intensive-care , Loco-regional-anesthesia

Ontario Case Shows Potential Supplement Risk for Consumers

A woman underwent extensive testing, including biopsies, before her illness was understood to be related to the presence of lead in an Ayurvedic medication.

India , Dalhousie , New-brunswick , Canada , Germany , United-states , Massachusetts , Cambridge , Cambridgeshire , United-kingdom , German , Canadian

How Staging Laparoscopy Informs Pancreatic Cancer Care

Researchers recommend staging laparoscopy for most patients with localized pancreatic ductal adenocarcinoma prior to resection to determine the stage of cancer and metastatic disease.

Hallbera-gudmundsdottir , Journal-of-the-american-college-surgeons , Mayo-clinic-rochester , American-college , Malignant-pancreatic-neoplasm , Ancreatic-cancer , Ancer-pancreatic- , Laparoscopy , Cancer , Alignant-neoplasia , Arcinoma , Resection

New Clues to an Old Mystery: Recent Gains in Endometriosis

Several studies published this year provide new insight into the pathogenesis of endometriosis, and each points to new approaches to treatment.

United-states , Japan , Nagoya , Aichi , Baylor-college-of-medicine , Texas , Houston , Australia , Japanese , American , John-sampson , John-sampsonpublished