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Your search keyword '"Panoraia Paraskeva"' showing total 4 results
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4 results on '"Panoraia Paraskeva"'

1. Morbidity Following Hand-Assisted Laparoscopic Donor Nephrectomy

Author

D. A. Stell, Panoraia Paraskeva, Jacob A Akoh, Simon Ulyett, Somaiah Aroori, Sarah Stacey, and Jamie Barwell

Subjects
Adult, Male, Abdominal pain, medicine.medical_specialty, medicine.medical_treatment, Nephrectomy, Patient Readmission, Sepsis, Young Adult, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Primary outcome, Living Donors, medicine, Hand-Assisted Laparoscopy, Humans, Hand assisted, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Incidence (epidemiology), Middle Aged, medicine.disease, Readmission rate, Kidney Transplantation, Surgery, 030220 oncology & carcinogenesis, Tissue and Organ Harvesting, Etiology, Female, 030211 gastroenterology & hepatology, medicine.symptom, business
Abstract

Background: The incidence of morbidity and readmission rate after hand-assisted laparoscopic donor nephrectomy (HALDN) is not clear. Aims: Our study aims to review our experience with HALDN, mainly the reasons for patient readmissions. Methods: Prospectively collected data on all patients undergoing HALDNs between August 2007 and June 2015 were retrieved. The primary outcome was 30-day readmission rate. Secondary outcomes were complications and readmission etiology. Results: There were 161 nephrectomies with a median age of 51 years, 72 (44.7%) men, and 114 (70.8%) left-sided operations. Twenty-one (13%) individuals were readmitted within 30 days. There were total 25 (15.5%) readmissions during the study period. The characteristics of patients readmitted and patients not readmitted were broadly similar. Nine of 21 (43%) individuals readmitted had nonspecific findings (nonspecific findings on imaging, negative blood cultures, and raised inflammatory markers). The reasons for readmission were unrelated to nephrectomy in 24% and 19% required surgery for complications unrelated to nephrectomy. Conclusion: We observed a high readmission rate after HALDN. A significant proportion of readmissions were due to nonspecific abdominal pain associated with raised inflammatory markers and no obvious source of sepsis. Living donors should be fully informed about the risks including the possibility of complications unrelated to HALDN.

Published
2019
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3. UK renal transplant outcomes in low and high BMI recipients: the need for a national policy

Author

Nikolaos Karydis, Theodoros Kassimatis, Clare Flach, Ioannis D. Kostakis, Valentina Bianchi, Nicos Kessaris, Benedict L. Phillips, Chris J. Callaghan, Panoraia Paraskeva, Ioannis Loukopoulos, and Francis Calder

Subjects
Nephrology, Adult, Male, medicine.medical_specialty, 030232 urology & nephrology, Disease, 030204 cardiovascular system & hematology, Overweight, Body Mass Index, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Postoperative Complications, Thinness, Internal medicine, medicine, Humans, Obesity, Registries, Risk factor, Aged, Retrospective Studies, business.industry, Graft Survival, nutritional and metabolic diseases, Middle Aged, medicine.disease, Kidney Transplantation, United Kingdom, Transplantation, Survival Rate, Treatment Outcome, Kidney Failure, Chronic, Female, medicine.symptom, Underweight, business, Body mass index
Abstract

We assessed the effect of recipient body mass index (BMI) on the outcomes of renal transplantation and the management of obese patients with end-stage renal disease across the UK. We analyzed data of 25539 adult renal transplants (2007–2016) from the UK Transplant Registry. Patients were divided in BMI groups [underweight

Published
2019

4. Hernia Recurrence due to Encasement of Biological Mesh

Author

Ali Zain Naqvi, Panoraia Paraskeva, and Jacob A Akoh

Subjects
medicine.medical_specialty, business.industry, Incisional hernia, Obstructed umbilical hernia, General Medicine, medicine.disease, Surgery, Umbilical hernia, surgical procedures, operative, medicine.anatomical_structure, Hernia recurrence, Open access publishing, medicine, Hernia, business, Sinus (anatomy)
Abstract

A 76-year old male was electively admitted for recurrent incisional hernia. He had an obstructed umbilical hernia repaired 12 years ago, which became complicated with a persistent sinus. The infected mesh was removed and the defect repaired with biological mesh (Collamend) 18 months ago

Published
2016
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