Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “HOSPITALS, CONVALESCENT”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 451 records · Page 25Linked to original sources
PubMed1981

Evaluation of contemporary female sterilization methods.

Different methods of sterilization were evaluated. Laparoscopic techniques were the most satisfactory because they had lower pelvic and incision infection rates and shorter hospitalization and convalescent times than laparotomy lower pelvic infection rates than culdoscopy and culpotomy. Via laparoscopy, sterilization by coagulation and cutting, spring-loaded clips and bands was an effective, safe method. Mechanical problems with the applicator and optics and decreased visibility resulted in more technical failures and difficulties and more misapplication with the clip applicator. Although the total complication rates were similar with all methods, bleeding from the tubes and wound and pelvic infections were more frequent with silastic-band technique. Long-term complications, such as dysmenorrhea and menometrorrhagia and especially those resulting in hysterectomy after laparoscopy, are infrequent. Pregnancy rates are low after laparoscopic sterilization with coagulation and silastic bands as compared to the clip. Rates of complications with sterilization combined with abortion or delivery are only slightly higher than after abortion without sterilization and much less than the combined complications that would be anticipated from abortion and interval sterilization. To make colpotomy, culdoscopy and minilaparotomy easier and potentially safer, mechanical techniques using the spring-loaded clip and silastic band are being evaluated. Simplified techniques that can be administered via the cervix, such as Quinacrine, may be practical in the future.

Abortion, Induced↗
PubMed1981

Metronidazole prophylaxis against wound infection in patients undergoing appendicectomy.

The effect of a preoperative single intravenous dose of metronidazole was studied in a prospective trial of 203 patients. 17.5% of the patients in the control group developed a wound infection compared with 3.4% of those receiving metronidazole (p less than 0.001). The average length of hospitalization and convalescence was significantly reduced in the metronidazole group. The use of metronidazole in prevention of wound infection is recommended.

Adult↗
PubMed1980

Bilateral total hip arthroplasty: a single procedure.

A total of 196 patients with bilateral hip disease underwent the simultaneous bilateral total hip arthroplasty procedure (392 hips), compared with 427 patients with unilateral disease and one hip replaced. A multiple regression analysis showed no difference between the 2 groups in regard to age, sex, and preoperative diagnosis. The mean length of operation was 3 hours for the bilateral group and one hour and 15 minutes for the unilateral group, with a mean blood loss of 3 units and 0.5 units respectively (the majority of the patients were given hypotensive anesthesia. Post-operative complications revealed no differences in the phlebitis (1% for each group), clinical pulmonary emboli (1% for each group), dislocation (1% for unilateral and none for the bilateral group), and non-union of the greater trochanter (11% for the unilateral group and 12% for the bilateral group). The unilateral group revealed 25% ectopic ossification vs. 36% for the bilateral group (p < 0.008). The mean hospital stay was 14 days for the unilateral group and 16 days for the bilateral group, at respective costs of $4,137 and $5,780. There were signs of clinical loosening in 1% of both groups. The infection rate was 1% for both. An analysis of covariance revealed no follow-up differences between the 2 groups in regard to pain, abduction status, or functional capabilities, although the range of motion was better in the unilateral group (p < 0.001), as may be expected, with less initial range of motion, there was also more postoperative ectopic ossification. Replacement of both hips under one anesthetic benefits patients in that the postoperative complications are the same as for the procedure for one hip; the length of hospitalization and convalescence are only slightly longer; the postoperative follow-up shows no differences except for a slight restriction in range of motion for the bilateral group; and the cost represents a 30% savings over that of a unilateral hip performed twice.

Adult↗
PubMed1995

Does Sjögren's syndrome predispose surgical patients to acquired hemophilia?

The authors report the first American case of a factor VIII inhibitor found in a patient with Sjögren's syndrome. The inhibitor was isolated from a patient with no known hematologic disorder who was seen with a compartment syndrome of the left thigh after sustaining a fall from bed. The Sjögren's syndrome had been previously diagnosed via lower lip biopsy. After fasciotomy, signs and symptoms of intra-abdominal hemorrhage developed, and the patient was taken to laparotomy, where no hemorrhage was found. A coagulopathy developed, and the patient's hemoglobin continued to fall. A complete factor analysis revealed a factor VIII inhibitor that was quantified at 40 Bethesda units. After vigorous therapy--which included factor concentrates, immunoglobulins, steroids, antifibrinolytic agents, and blood replacement--the patient's bleeding stopped and she continued to convalesce under hospital care until her ultimate death from respiratory problems. Acquired hemophilia with a factor VIII inhibitor may be associated with Sjögren's syndrome.

Aged↗
PubMed1994

Laparoscopic treatment of appendicovesical fistula: a case report.

Appendicovesical fistula is an uncommon type of enterovesical fistula and a rare complication of unrecognized appendicitis. Only 100 cases have been reported previously in the literature, the vast majority being in young male patients. Our case is that of a middle-aged woman and is the first in which the diagnosis is made and surgical treatment rendered using a laparoscopic approach. Familiarity with diagnostic laparoscopy adds a powerful tool to the evaluation of patients with difficult or unusual surgical problems. Subsequent implementation of minimally invasive techniques for surgical therapy when appropriate can significantly decrease hospitalization and convalescence.

Appendectomy↗
PubMed1975

Plasma renin activity in oedematous and marasmic children with protein energy malnutrition.

Plasma renin activity was measured by bio-assay in 52 children with kwashiorkor, in 28 with marasmus and in 21 healthy children. Plasma renin activity was significantly increased in children with kwashiorkor and marasmus, compared with healthy children, and in children who died, compared with survivors. No strict causal relationship could be found between plasma renin activity and the degree of oedema in kwashiorkor. Increased renin activity probably results from a terminal change in cardiovascular function.

Blood Proteins↗
PubMed1975

[Fatalities in a rehabilitation center for cardiovascular diseases (author's transl)].

From 1967 until the end of 1974, a total of 32 524 treatments were carried out at the Höhenried clinic. There were 40 fatal incidents, corresponding to a mortality rate of 0.12%. 5386 treatments were carried out in 3606 infarction patients. Of these, 29 patients died, which, related to the treatments, corresponds to a mortality rate of 0.53% and, related to the number of infarction patients, to 0.80%. The main cause of death was acute cardiac death. 10 fatal incidents occurred in temporal relation to kinesitherapy. Retrospectively, severe ECG changes due to infarction, pathological reactions to stress as well as disorders of cardiac rhythm and cardiac hypertrophy can be regarded as being indicative of a particular danger to patients.

Adult↗
PubMed1993

[Laparoscopic cholecystectomy and choledocholithiasis].

Laparoscopic operations are a revolution in surgery. So far they were developed most in surgery of the biliary pathways. The authors emphasize the necessity to extend diagnostic and therapeutic examination methods of the biliary pathways pre-, intra- and postoperative ERCP, pre- and intraoperative cholangiography, choledochotomy, choledochoscopy, concrement extraction. Only then laparoscopic operations attain their full importance with all advantages--postoperative comfort, reduced period of treatment, hospitalization and convalescence, cosmetic effect. The authors present in the submitted paper their own experience and world-wide trends--mainly in the USA and France.

Cholangiopancreatography, Endoscopic Retrograde↗
PubMedDate not supplied

[Extracorporeal shock wave lithotripsy: prophylaxis, complications and therapy].

ESWL has proved to be a safe and effective method in the treatment of urinary tract calculosis. The method is hardly invasive when compared to all other methods known so far, except for the treatment of calculosis with a selective pharmacotherapy. Moreover, the method is contactless, extracorporeal, mostly necessitating no anaesthesia and spasmoanalgesic therapy, except in the very small number of patients. The importance of the problem of urinary tract calculosis is enormous. Calculosis affects children, and particularly adults, predominantly psychically and physically active individuals in the most productive phase of their lives as well as elderly population. All this makes considerable its adverse effects on health, producing great interest of specialists for this disease. However, the incidence of the disease requires much better surveillance of the patients, since the preventive measures must be undertaken in time as they are of utmost importance. The treatment of urinary tract calculosis has brought great improvements enabling resolution of all types of concrements, irrespectively of their size and chemical composition, in absence of surgical incisions and anaesthesia, except for the small number of patients. Therefore, ESWL therapy has been most advantageous in different types of lithotriptors, particularly lithotriptors of the second generation, such as lithostar lithotripter. Renal calculi are the most convenient for this therapeutical procedure. Ever since its introduction into the clinical practice, the method has become the first therapeutical choice in the treatment of urinary tract calculosis. The indications for this type of therapy are enlarger and now they include all types of urinary tract calculi. Hospitalization and convalescence periods following ESWL are reduced when compared to nephrolithotomy, pyelotomy or ureterolithotomy. The study included a series of 2034 patients treated by this method. Our results revealed a low morbidity rate. Transitory haematuria occurred in almost all patients. Significant fall in haemoglobin levels was extremely rare, occurring only in four of patients with prolonged haematuria resolved following blood transfusion. In 321 patients enormous "Steinstrasse" was evidenced. In 54 patients percutaneous nephrostoma was created. Ureteroscopical removal of the stone was attempted in 14 patients; however, the success was moderate. Urosepsis developed in 29 patients. In 107 patients of the series, heart-related problems were recorded during and immediately after ESWL treatment. Paroxysmal supraventricular tachycardia was recorded in 20 patients. Arterial hypertension was evidenced in 63 patients, although they had previous history of hypotension. Skin lesions were found in 1004 patients, and none of them necessitated the therapy. It may be concluded that ESWL is the optimal method in the treatment of urinary tract calculosis; it is free of risk of development of predicted and unpredicted complications, which are now readily resolved failing to induce higher mortality rates among the patients treated by this method. The patients with cardiac problems should be previously well compensated, and after achievement of satisfactory compensation (sinus rhythm of the heart, etc.), the patients may be subjected to the treatment. This therapeutical postulate also applies to patients with coagulation disorders, when they are first subjected to an intensive treatment; after the satisfactory condition is accomplished they can undergo the treatment without any risk of haemorrhage or similar complications. Silica ureteral probes protect the kidney from complications following ESWL. Morbidity induced by ureteral obstruction is minimized, particularly if calculi of greater size than 2.5 cm are treated. Careful assessment is mandatory in patients at high risk, as well as appropriate preoperative conselling with relevant specialists. (ABSTRACT TRUNCATED)

Contraindications↗