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Your search returned 59 results
from the time period: last 18 months.
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The Journal of urology
... we initiated a national skills assessment study focusing initially on laparoscopic skills AbstractText: Between February 2014 and March 2016 the basic laparoscopic skill of Canadian urology trainees and attending urologists was assessed using 4 standardized tasks from the AUA (American Urological Association) BLUS (Basic Laparoscopic Urological Surgery) curriculum, including peg transfer, pattern cutting, suturing and knot tying ...
Urology (4), more mentions
The Cochrane database of systematic reviews 
... open or laparoscopic surgery; new anaesthetic concerns accompany robotic assisted surgery AbstractText: To assess outcomes related to the choice of total ... TIVA) or inhalational anaesthesia for adults undergoing transabdominal robotic assisted laparoscopic gynaecological, urological or gastroenterological surgery AbstractText: We searched the Cochrane Central Register of Controlled Trials ... and older, of both genders, treated with transabdominal robotic assisted laparoscopic gynaecological, urological or gastroenterological surgery and focusing on outcomes of TIVA or inhalational anaesthesia AbstractText ...
Neuroscience (1), Urology (1)
Pneumoperitoneum (1), more mentions
The Journal of urology
AbstractText: The BLUS (Basic Laparoscopic Urologic Skills) consortium sought to address the construct validity of BLUS tasks and the wider problem of accurate, scalable and affordable skill evaluation by investigating the concordance of 2 novel candidate methods with faculty panel scores, those of automated motion metrics and crowdsourcing AbstractText: A ...
The Journal of urology
We identify the currently available training models for urological surgery, their status of validation and the evidence behind each model AbstractText ... validation studies were identified pertaining to training models in endourology (63), laparoscopic surgery (17), robot-assisted surgery (8) and open urological surgery (6), with a total of 55 models ...
Journal of clinical oncology : official journal of the American Society of Clinical Oncology
AbstractText: 316 Background: Radical cystectomy (RC) is the standard treatment for patients with muscle invasive bladder cancer. RC is associated with more post-op complications and longer length of stay (LOS) after surgery than other urologic procedures. There is little information about peri-op pathways in the urologic literature. This study investigates practice patterns of urologists in the United States ...
Oncology (5), Infectious Diseases (1)
Urinary Bladder Neoplasms (3), more mentions
European urology 
CONTEXT: Radical cystectomy (RC) is associated with frequent morbidity and prolonged length of stay (LOS) irrespective of surgical approach. Increasing evidence from colorectal surgery indicates that minimally invasive surgery and enhanced recovery programmes (ERPs) can reduce surgical morbidity and LOS. ERPs are now recognised as an important component of surgical management for RC. However, there is comparatively little evidence for ERPs after robot-assisted radical cystectomy (RARC). Due to the multimodal nature of ERPs, they are not easily validated through randomised controlled trials. OBJECTIVE: To provide a European Association of Urology (EAU) Robotic Urology Section (ERUS) policy on ERPs to guide standardised perioperative management of RARC patients. EVIDENCE ACQUISITION: The guidance was formulated in four phases: (1) systematic literature review of evidence for ERPs in robotic, laparoscopic, and open RC; (2) an online questionnaire survey formulated and sent to ERUS Scientific Working Group members; (3) achievement of consensus from an expert panel using the Delphi process; and (4) a standardised reporting template to audit compliance and outcome designed and approved by the committee. EVIDENCE SYNTHESIS: Consensus was reached in multiple areas of an ERP for RARC. The key principles include patient education, optimisation of nutrition, RARC approach, standardised anaesthetic, analgesic, and antiemetic regimens, and early mobilisation. CONCLUSIONS: This consensus represents the views of an expert panel established to advise ERUS on ERPs for RARC. The ERUS Scientific Working Group recognises the role of ERPs and endorses them as standardised perioperative care for patients undergoing RARC. ERPs in robotic surgery will continue to evolve with technological and pharmaceutical advances and increasing understanding of the role of surgery-specific ERPs. PATIENT SUMMARY: There is currently a lack of high-level evidence exploring the benefits of enhanced recovery programmes (ERPs) in patients undergoing robot-assisted radical cystectomy (RARC). We reported a consensus view on a standardised ERP specific to patients undergoing RARC. It was formulated by experts from high-volume RARC hospitals in Europe, combining current evidence for ERPs with experts' knowledge of perioperative care for robotic surgery.
Urology (3), more mentions
BJOG : an international journal of obstetrics and gynaecology
From culdoscopy to peritoneoscopy: a century of advancement in laparoscopy for minimal-access surgery in gynaecology..
The Journal of urology
... that laparoscopic sacrocolpopexy could compete with abdominal sacrocolpopexy for pelvic organ prolapse repair AbstractText: This randomized, controlled trial was done to compare laparoscopic sacrocolpopexy and abdominal sacrocolpopexy for pelvic organ prolapse repair in women referred to our tertiary Department of Urology for symptomatic stage 2 or greater pelvic organ prolapse ...
Urology (1)
Pelvic Organ Prolapse (8), Prolapse (1), more mentions
9. Validation of the AUA BLUS Tasks.  
Date: 06/15/2016
The Journal of urology
AbstractText: Standardized assessment of laparoscopic skill in urology is lacking. We investigated whether the AUA (American Urological Association) BLUS (Basic Laparoscopic Urologic Skills) skill tasks are valid to address this need AbstractText ... institutional review board approved study included 27 medical students, 42 urology residents, 18 fellows and 37 faculty urologists across 8 sites.
Urology (3), more mentions
The Journal of urology
AbstractText: We analyze patients with early progression after laparoscopic radical cystectomy in a large cohort by the ESUT (European Association of Urology Section of Uro-Technology. More specifically we focus on patients with favorable pathology (pT2 N0 R0 or less) who experienced an unexpected recurrence and analyze possible causes for such early recurrence, discussing the surgical technique including pneumoperitoneum AbstractText ...
Oncology (1), Urology (1)
Neoplasms (3), Pneumoperitoneum (3), Urinary Bladder Neoplasms (1), more mentions
The Journal of urology
... the risk of opioid dependence or overdose among patients undergoing urological surgery and to identify risk factors of opioid dependence or overdose AbstractText: We retrospectively reviewed data on urological surgery from 2007 to 2011 ... performed to identify predictors of opioid dependence or overdose following urological surgery AbstractText: Overall 675,527 patients underwent urological surgery, of whom 0.09% were diagnosed with opioid dependence or overdose ...
Neuroscience (2), Pain Management (1)
Chronic Obstructive Pulmonary Disease (2), Depressive Disorder (2), Drug Overdose (1), more mentions
European urology
No guidance specific for procedure and patient factors exists in urology AbstractText: To inform estimates of absolute risk of symptomatic VTE and bleeding requiring reoperation in urological non-cancer surgery AbstractText: We searched for contemporary observational studies and estimated the ... VTE or bleeding requiring reoperation in the 4 wk after urological surgery.
Oncology (3), Urology (2), Cardiovascular Diseases (2)
Neoplasms (3), Venous Thromboembolism (2), Prolapse (1), more mentions
European urology
... To provide estimates of the baseline risk of symptomatic VTE and bleeding requiring reoperation in urological cancer surgery AbstractText: We identified contemporary observational studies reporting symptomatic VTE or bleeding after urological procedures ... and bleeding AbstractText: Clinicians often give blood thinners to patients to prevent blood clots after surgery for urological cancer.
Oncology (4), Cardiovascular Diseases (2), Urology (1)
Urologic Neoplasms (4), Venous Thromboembolism (2), Thrombosis (1), more mentions
European urology
... for future clinical trials AbstractText: A comprehensive systematic MEDLINE search was performed for English language reports published before May 2015 using the terms "postoperative period," "postoperative care," "enhanced recovery after surgery," "enhanced recovery," "accelerated recovery," "fast track recovery," "recovery program," "recovery pathway", "ERAS," and "urology" or "cystectomy" or "urologic surgery.
Urology (1), Infectious Diseases (1)
Deep Vein Thrombosis (1), more mentions
The Journal of urology
PURPOSE: We quantified the underestimation of hospital readmission rates that can occur with institutional databases and the incidence of care fragmentation among patients undergoing urological oncology procedures in a nationally representative database. MATERIALS AND METHODS: The 2013 Nationwide Readmissions Database was queried for patients undergoing prostatectomy, cystectomy, nephroureterectomy, nephrectomy, partial nephrectomy and retroperitoneal lymph node dissection for urological malignancies. Nationally representative 30 and 90-day readmission and care fragmentation rates were calculated for all procedures. Readmission rates with and without nonindex hospital readmissions were compared with Pearson's chi-square test. Multivariable logistic regression models were used to identify predictors of care fragmentation at 90-day followup. RESULTS: For all surgical procedures readmission rates were consistently underestimated by 17% to 29% at 90-day followup. The rates of care fragmentation among readmitted patients were similar for all procedures, ranging from 24% to 34% at 90-day followup. Overall 1 in 4 readmitted patients would not be captured in institutional databases and 1 in 3 readmitted patients experienced care fragmentation. Multivariable models did not identify a predictor of care fragmentation that was consistent across all procedures. CONCLUSIONS: The high rate of underestimation of readmission rates across all urological oncology procedures highlights the importance of linking institutional and payer claims databases to provide more accurate estimates of perioperative outcomes and health care utilization. The high rate of care fragmentation across all procedures emphasizes the need for future efforts to understand the clinical relevance of care fragmentation in patients with urological malignancies, and to identify patients at risk along with potentially modifiable risk factors for care fragmentation.
Oncology (3), more mentions
European urology
Robotic surgery offers technical advantages and is being increasingly used in urologic procedures AbstractText: To determine the feasibility and safety of robotic surgery for RPLND AbstractText: A retrospective review of robotic (R)-RPLND performed by a single surgeon from April 2008 to October 2014 using two approaches was performed. In total, 20 procedures in 19 patients were evaluated.
Oncology (3)
Testicular Neoplasms (3), Germ Cell Neoplasms (1), more mentions
The Journal of urology
Re: Pelvic Organ Prolapse Surgery in Academic Female Pelvic Medicine and Reconstructive Surgery Urology Practice in the Setting of the Food and Drug Administration Public Health Notifications..
Urology (2)
Pelvic Organ Prolapse (2), more mentions
The Journal of urology
Re: Hospital-Level Variation in the Quality of Benign Inpatient Urologic Surgery..
The Journal of urology
Re: Nephron-Sparing Surgery across a Nation-Outcomes from the British Association of Urological Surgeons 2012 National Partial Nephrectomy Audit..
Obstetrics and gynecology
The urethra, bladder, and ureters are particularly susceptible to injury during gynecologic surgery. When preventive measures fail, prompt recognition and management of injury can avoid long-term sequelae such as fistula formation and loss of renal function. Intraoperative identification should be the primary goal when an injury occurs, although this is not always possible. Postoperative injury recognition requires a high level of suspicion and vigilance. In addition to history and physical examination, appropriate radiologic studies can be useful in localizing injury and planning management strategies. Some injuries may require Foley catheter drainage or ureteral stenting alone, whereas others will require operative intervention with ureteral resection and reanastomosis or reimplantation. Prompt restoration of urinary drainage or diversion will avoid further renal compromise.
Fistula (1), more mentions
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