An active man in his early 80s presented to the hospital with a 6-month history of cramping epigastric abdominal pain that occurred 30 minutes after eating solid food and was associated with nausea and vomiting. His medical history was significant for atrial fibrillation and a history of an open abdominal aortic aneurysm repair. What is your diagnosis?
This randomized clinical trial with data collection during a brief hospital stay determines whether instillation of a long-acting local anesthetic between the mesh and the peritoneum after laparoscopic ventral hernia repair reduces pain or narcotic requirements.
This randomized clinical trial compares the efficacy of a transversus abdominis plane block with dexamethasone and preperitoneal instillation of local anesthetic with dexamethasone vs control on postoperative quality of recovery following a bilateral total extraperitoneal inguinal hernia repair.
Hoppo et al evaluate use of hypopharyngeal multichannel intraluminal impedance in patients with idiopathic chronic cough to determine whether laryngopharyngeal reflux or high-esophageal reflux was the cause of the cough. See the invited critique by Patti.
Holman et al compare pain at the harvest site and functional changes associated with harvesting the radial artery vs saphenous vein for coronary artery bypass grafting.
This cohort study compares clinical outcomes of patients with intermittent claudication and peripheral arterial disease treated with revascularization vs medical treatment.
This database review of patients undergoing high-resolution anoscopy with biopsy showed that those with anal pain and lesions are at increased risk of high-grade anal dysplasia. See also the Invited Commentary by Fleshman.
This study uses data from the Vascular Study Group of New England data registry to compare postoperative complication and long-term survival rates in patients who received general anesthesia with those who received combined epidural and general anesthesia for elective abdominal aortic aneurysm repair.
This narrative review summarizes recent advances in understanding the epidemiology, pathophysiology, diagnosis, and treatment of critical limb ischemia.