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Urinewegen
Aquablation: een veilige en effectieve aanpak van prostaatvergroting
Prostaatvergroting, officieel benigne prostaathyperplasie (BPH), is een veelvoorkomende aandoening bij mannen boven de 50 jaar. De vergrote prostaat kan de urinebuis samendrukken, ook wel blaasuitstroomobstructie (BOO) genoemd, en klachten veroorzaken die de kwaliteit van leven flink beïnvloeden. Veel voorkomende problemen zijn een zwakke urinestraal, vaak moeten plassen, vooral ’s nachts, moeite met starten en het […]

Aanbevolen

Maag/darm
Nieuwe techniek verkleint kans op lekkages bij darmoperaties
De studie is uitgevoerd in 8 Nederlandse ziekenhuizen*, waarin bijna 1.000 patiënten zijn onderzocht. Dr. Alexander Vahrmeijer, dr. Denise Hilling, p...
AI-model voorspelt overlijden en complicaties na hartingreep
Voor de zorgverleners en patiënten Historisch gezien hebben zowel patiënten als clinici de voordelen van procedures zoals coronaire angiografie en P...

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Chirurgie nieuws

Cardio-thoracaal

Erector Spinae Plane Block Versus Retrolaminar Block for Perioperative Analgesia in Pediatric Cardiac Surgery
jcvaonline.com
We recently reported a randomized, double-blinded, non-inferiority trial comparing erector spinae plane block (ESPB) with retrolaminar block (RLB) for perioperative analgesia in pediatric cardiac surgery.1 The primary objective of our study was the hemodynamic response to surgical incision, defined as a >10% rise in heart rate—an endpoint adapted from the landmark work of Holland and Bosenberg in mixed pediatric surgical populations.2 To our knowledge, this represents the first prospective application of incision-response as a primary endpoint in a pure pediatric cardiac sternotomy cohort.
Echocardiography
Comparison of performance characteristics of flexible bronchoscopy or video laryngoscopy assisted versus blind insertion of transesophageal echocardiography probe in adults undergoing cardiac surgery: A randomized controlled study.
jcvaonline.com
The objective of this study was to compare visually assisted techniques (flexible bronchoscope and video laryngoscope) vs. blind insertion of transesophageal echocardiography (TEE) probe. Primary objective was to evaluate first attempt success rate of probe insertion. Secondary objectives were the time required for probe insertion, number of attempts required for successful insertion, hemodynamic perturbation immediately following and at 3 minutes after probe insertion, operator satisfaction, and the incidence of complications related to probe insertion.
Erector Spinae Plane Block Versus Retrolaminar Block for Perioperative Analgesia in Pediatric Cardiac Surgery
jcvaonline.com
We recently reported a randomized, double-blinded, non-inferiority trial comparing erector spinae plane block (ESPB) with retrolaminar block (RLB) for perioperative analgesia in pediatric cardiac surgery.1 The primary objective of our study was the hemodynamic response to surgical incision, defined as a >10% rise in heart rate—an endpoint adapted from the landmark work of Holland and Bosenberg in mixed pediatric surgical populations.2 To our knowledge, this represents the first prospective application of incision-response as a primary endpoint in a pure pediatric cardiac sternotomy cohort.
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MDL


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Oncologie


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Transplantatie

Long-term follow-up after mixed donor myeloid chimerism at 1 year post transplantation for sickle cell disease
astctjournal.org
Hematopoietic cell transplantation (HCT) is an established curative therapy for sickle cell disease (SCD) as it helps to stem multi-system complications.1 The American Society of Hematology guidelines recommend myeloablative conditioning (MAC) due to the lowest rates of graft rejection (GR) with busulfan-based myeloablation. GR rates are higher with reduced-intensity (RIC) and nonmyeloablative (NMA) conditioning, and there is a lack of data demonstrating fertility preservation with less intensive regimens.
Long-term follow-up after mixed donor myeloid chimerism at 1 year post transplantation for sickle cell disease
astctjournal.org
Hematopoietic cell transplantation (HCT) is an established curative therapy for sickle cell disease (SCD) as it helps to stem multi-system complications.1 The American Society of Hematology guidelines recommend myeloablative conditioning (MAC) due to the lowest rates of graft rejection (GR) with busulfan-based myeloablation. GR rates are higher with reduced-intensity (RIC) and nonmyeloablative (NMA) conditioning, and there is a lack of data demonstrating fertility preservation with less intensive regimens.
Breaking Access Barriers to Autologous Stem Cell Transplant and Chimeric Antigen Receptor T Cell therapy in Hematological Malignancies – an ASTCT-NMDP ACCESS Initiative
astctjournal.org
Autologous stem cell transplant (ASCT) consolidation remains the standard of care (SOC) for newly diagnosed multiple myeloma (MM).2,3 In 2018, it was estimated that 14,000 patients received autologous HCTs in the United States.4 ASCT is also traditionally used to salvage relapse non-Hodgkin lymphoma (NHL).5 With the emergence of chimeric antigen T-cell (CAR T) therapies now approved for MM6,7 and NHL8-12, role of ASCT is undergoing constant appraisal. CAR T-cell treatments are now offered as front-line therapies for MM and NHL, particularly in older patients who may not tolerate dose intensity of ASCT.
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Traumatologie

Journal update monthly top five
emj.bmj.com
This month’s update is by the team at the Centre for Emergency Care and Trauma within the Northern Care Alliance NHS Foundation Trust. We used a mul...
Recognising high-pressure injection injuries to the hand: a practice review with guidance for emergency physicians
emj.bmj.com
High-pressure pneumatic guns, commonly used in industrial settings for tasks such as painting and cleaning, pose a significant risk of hand injuries s...
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