Orlistat, an inhibitor of gastrointestinal lipases, limits the absorption ingested fat and could become a potential treatment for obesity. This analysis was performed to elucidate relationship between orlistat dose intensity inhibition dietary (assessed by measuring fecal excretion). In 11 phase I double-blind, placebo-controlled, parallel-group randomized studies, total 171 subjects received oral daily doses that ranged from 30 1200 mg or matching placebo three times day 9 10 days. The...

Background and Objectives: Quadratus lumborum block (QLB) is a regional anesthesia technique widely utilized in multimodal analgesia strategies for abdominal surgeries. While few studies have investigated its efficacy multiport total laparoscopic hysterectomy (TLH), effectiveness single-port TLH remains uncertain. This study aimed to evaluate whether QLB reduces opioid consumption postoperative pain patients undergoing TLH. Materials Methods: randomized, controlled, observer-blinded trial...

Background: The fascia iliaca compartment block (FICB) provides an analgesic effect in patients with femur fractures. However, the postoperative pain after hip surgery is different from that fracture, because of difference degree and location tissue trauma. Whether FICB effective analgesia undergoing total arthroplasty not well understood. Moreover, there no prospective randomized study to evaluate as a hemiarthroplasty. Therefore, we performed determine objective this was compare opioid...

Although case reports have suggested that the erector spinae plane block (ESPB) may help analgesia for patients after breast surgery, no study to date has assessed its effectiveness. This retrospective observational analyzed analgesic effects of ESPB total mastectomy.Forty-eight were divided into an group (n = 20) and a control 28). Twenty in selected by their propensity score matching twenty group. Patients injected with 30 mL 0.375% ropivacaine, followed catheter insertion further...

Abstract Rationale: The thoracic epidural block and paravertebral are widely used techniques for multimodal analgesia after surgery. However, they have several adverse effects, not technically easy. Recently, the erector spinae plane (ESPB), an injected local anesthetic deep to muscle, is a relatively simple safe technique. Patient concerns: Three patients were scheduled video assisted thoracoscopic lobectomy with mediastinal lymph node dissection. All denied any past medical history be...

Abstract Rationale: The most commonly used regional techniques for analgesia following laparotomy thoracic epidural and paravertebral blocks are technically difficult to perform carry a risk of severe complications. Recently, the erector spinae plane block (ESPB) has been reported effectively treat neuropathic pain. ultrasound-guided ESPB is an easily performed fascial that can provide sensory blockade from T2–4 T12–L1. Moreover, reportedly both ventral rami spinal nerves communicants, which...

Background: The retro superior costotransverse ligament space (RSS) block, reported as a novel target in paraspinal involves the spreading of local anesthetics into thoracic paravertebral through slits around . This blocks not only dorsal rami but also ventral rami, achieving reliable complete sensory blockade. Case: We performed an RSS block at T5, T7, and T9 levels on both sides for postoperative analgesia two patients who underwent laparoscopic gastrectomy. Both showed blockade from T4 to...

We describe a case of acute lumbar epidural hematoma at the L2-3 level complicated by paraplegia, which occurred after coagulation disorder because massive bleeding intraoperatively in cesarean section. The preoperative laboratory finding was normal range and so we tried combined spinal anesthesia. Uterine atony operation, there persistant during operation. After she complained paresthesia on her both legs diagnosed with (EDH) radiologic examination. Emergency laminectomy spine carried out...

Background Anesthesia methods and drugs affect postoperative nausea vomiting. Propofol is known to have antiemetic effects. We compared the incidence of vomiting (POV) in children undergoing an adenotonsillectomy; anesthesia one group was induced with propofol maintained sevoflurane nitrous oxide, other received total intravenous (TIVA) propofol-remifentanil. Methods Ninety children, ASA physical status I, were assigned randomly two groups. In PSN group, 2-3 vol% 50% oxide. PR 10 mg/kg/h...

Actinomycosis is common in the head and neck region but rarely occurs nasal septum. A 75-year-old male patient with an edentulous maxilla, hypertension, diabetes developed actinomycosis confined to septum showed mucosal necrosis septal bony sequestration. The underwent surgery medication therapy; this case was reported using endoscopic photographs radiographs a literature review conducted provide further context understanding of condition patient.

Rationale: Stylohyoid complex syndrome is characterized by various cervicopharyngeal symptoms related to the ossification and abnormality of styloid process, stylohyoid ligament, lesser horn hyoid bone. Eagle most well-known spectra these diseases. Although surgical treatment considered effective, conservative may be beneficial if arise because inflammation soft tissues attached process or Patient concerns: A 68-year-old man presented with pain in right side neck odynophagia after trauma on...

A 40-year-old woman was referred to our hospital because of bitemporal hemianopsia at 23 weeks gestation. brain magnetic resonance imaging showed a pituitary tumor having suprasellar extension. At 30 gestation, she complained rapidly deteriorating vision and in both eyes the ensuing radiological examination revealed increased size, displaced location compressed optic chiasm. The cesarean section performed 31 3 days gestation simultaneous surgical removal carried out due risk irreversible...

Lipomas are the most common soft tissue lesions occurring in salivary glands but have a very low incidence. commonly occur parotid gland, and lipomas submandibular gland (SMG) rare. Until recently, ordinary of some variants SMG been reported. However, few reports within exist literature. We report an extremely rare case lipoma right 65-year-old man. The tumor measured 2.0 × 1.8 2.7 cm, was well-capsulated homogenous yellow mass, which composed mature adipose tissue. A partially mixed area...

Nasal hemangiomas most commonly occur in the anterior part of nose, including Little’s area nasal septum, tip inferior turbinate, and vestibule. They rarely develop posterior turbinate meatus. Here, we report a case cavernous hemangioma at aspect left meatus 79-year-old man who presented with epistaxis progressive obstruction for 4 months after blowing his nose forcefully review relevant literature. An endoscopic evaluation revealed dark red mass that did not extend to choana or nasopharynx....

Distal nerve block approaches have been explored to reduce hemidiaphragmatic paresis (HDP) more effectively than interscalene (ISB). However, these are associated with a high incidence of HDP. The costoclavicular (CCB) provides effective analgesia while reducing Here, we hypothesized that CCB would decrease the HDP compared ISB still providing pain relief after surgery. Seventy patients who underwent arthroscopic rotator cuff repair were randomly allocated receive either ultrasound-guided (n...

Objectives This study aimed to investigate the epidemiology of intravenous midazolam-induced postoperative expressive aphasia (EA). Methods The incidence rate, risk ratio, and contributing factors EA were analyzed retrospectively in 6756 orthopedic patients. A telephone interview was conducted with patients after surgery. Results Patients allocated either midazolam group (n = 6178) or no-midazolam 578). Twelve developed group, an 0.19%, no patient group. mean age 70 years, 92% women. Among...

Objectives: Postoperative urinary retention (POUR) is influenced by many factors, and its reported incidence rate varies widely. This study aimed to investigate the occurrence risk factors for following general anesthesia endoscopic nasal surgery in male patients aged >60 years. Methods: A retrospective review of medical records between January 2015 December 2019 identified 253 inclusion our study. Age, body mass index (BMI), a history diabetes/hypertension, American Society...

Inhaled nitric oxide (NO) is occasionally used to treat hypoxemia for patients with acute respiratory distress syndrome (ARDS) in the intensive care unit (ICU). However, it controversial whether or not maintain inhalation of NO during general anesthesia because complications, such as nitrogen dioxide (NO(2)) production, methemoglobinemia, and inhibition platelet aggregation. In this case, a 67-year-old male fell from roof was brought an emergency center. During management, he vomited gastric...

Abstract Background : Postoperative urinary retention (POUR) after anesthesia and surgery is influenced by many factors, its reported incidence rate varies widely. The aim of this study was to investigate the occurrence risk factors for following general endoscopic nasal in male patients aged over 60 years. Methods Retrospective review medical records between January 2015 December 2019 identified 253 subjects inclusion our study. Age, body mass index, history diabetes/hypertension, American...