The authors evaluated the efficacy of intraoperative application of mitomycin C 0.4 mg/1 ml x 3 minutes in primary pterygium excision and compared this method with other’s. 166 patients (170 eyes) with primary pterygium were asigned randomly to 3 groups: group 1 received pterygium excision with intraoperative application of 0.4 mg/1 ml mitomycin C for 3 minutes (58 eyes: 14 eyes with pterygium. II degree, 44 with pterygium III-IV degree); group 2 received conjunctival autograf (56 eyes; 12 with pterygium II degree, 44 with pterrygium III-IV degree). Patients were followed 1,3,6 and >12 months after operation. Results: after a folow-up time there were not recurrences in patients of group 1 and 2; recurrences developed only in 15 (26.77%) of 56 eyes in group 3. There were not complications in and after operation. Conclusion: this study indicates that intraoperative application of mitomycin C in primary pterygium excision is an effective treatment for prevention of recurrence of pterygium.
Pterygium ; Intraoperative Care ; Mitomycin ; therapeutics

Unlike minor operations, major surgeries require strict glycemic control using intravenous insulin infusion in patients with diabetes. The postoperative transition to subcutaneous insulin, if needed, can begin several hours before discontinuing intravenous insulin, by reinitiation of basal insulin re-initiation. Basal-bolus insulin regimens are safer and more effective in hospitalized patients than supplemental-scale regular insulin.
Diabetes Mellitus ; Humans ; Hyperglycemia ; Insulin ; Intraoperative Care ; Postoperative Care

Anti-Bacterial Agents ; therapeutic use ; Antibiotic Prophylaxis ; Humans ; Intraoperative Care

Intraoperative ultrasonography (IOUS) has been widely utilized in hepatic surgery both as a diagnostic technique and in the course of treatment. Since IOUS involves direct-contact imaging of the target organ, it can provide high spatial resolution without interference from the surrounding structures. Therefore, IOUS may improve the detection, characterization, localization, and local staging of hepatic tumors. IOUS is also a real-time imaging modality capable of providing interactive information and valuable guidance in a range of procedures. Recently, contrast-enhanced IOUS, IOUS elastography, and IOUS-guided hepatic surgery have attracted increasing interest and are expected to lead to the broader implementation of IOUS. Herein, we review the various applications of IOUS in the diagnosis and management of focal hepatic lesions.
Diagnosis* ; Elasticity Imaging Techniques ; Intraoperative Care ; Liver Neoplasms ; Ultrasonography*

Humans ; Monitoring, Intraoperative ; methods ; trends ; Perioperative Care ; methods ; trends

Humans ; Hypothermia ; Perioperative Care ; Intraoperative Complications ; Patients ; Body Temperature

OBJECTIVETo study the changes of lower esophageal sphincter (LES) high-pressure zone, and to determine the accurate length of myotomy on the esophageal and gastric sides.

METHODSThere were 15 patients undergoing the Heller's cardia-myotomies and Toupet fundoplications from May 2006 to December 2007. Among them, 9 patients were female and 6 was male. The age ranged from 28 to 61 years old, and the disease duration ranged from 6 months to 9 years. The intraoperative oesophageal manometry underwent in the surgical procedures to investigate the changes of the lower esophageal sphincter pressure and the length of myotomy.

RESULTSThere was no postoperative death. After (5.3 +/- 1.5) cm of esophageal side myotomy and (0.8 +/- 0.4) cm of gastric side myotomy, the mean LES pressure decreased from (33.6 +/- 13.3) mm Hg (1 mm Hg = 0.133 kPa) to (9.7 +/- 4.6) mm Hg and (4.8 +/- 3.1) mm Hg respectively (P < 0.05). The lower esophageal sphincter length ranged from 5 to 8 cm.

CONCLUSIONIntraoperative esophageal manometry helps determine the accurate myotomy length of myotomy on the esophageal and gastric sides of the gastroesophageal junction and provides valuable information for the Heller's myotomy.

Adult ; Esophageal Achalasia ; surgery ; Esophagus ; physiopathology ; surgery ; Female ; Humans ; Intraoperative Care ; Male ; Manometry ; Middle Aged ; Monitoring, Intraoperative

Anesthesia, Local ; Humans ; Intraoperative Care ; psychology ; Lens Implantation, Intraocular ; psychology ; Medicine in the Arts ; Phacoemulsification ; psychology ; Vision, Ocular

Humans ; Monitoring, Intraoperative ; methods ; Perioperative Care ; Sleep Apnea, Obstructive ; nursing ; therapy

This article introduces the basic structure, features and the priciples of a portable automatic pneumatic tourniquet and its prospects of applications.
Anastomosis, Surgical ; methods ; Automation ; Bandages ; Extremities ; surgery ; Hemostasis, Surgical ; instrumentation ; Humans ; Intraoperative Care ; Tourniquets