Search

Your search keyword '"Nisreen Madhoun"' showing total 3 results
Start Over Author "Nisreen Madhoun" Publisher springer science and business media llc
3 results on '"Nisreen Madhoun"'

1. Effect of BMI on Short-Term Outcomes with Robotic-Assisted Laparoscopic Surgery: a Case-Matched Study

Author

Deborah S. Keller, Juan R. Flores-Gonzalez, Reena N. Tahilramani, Sergio Ibarra, Eric M. Haas, and Nisreen Madhoun

Subjects
Adult, Male, Laparoscopic surgery, medicine.medical_specialty, medicine.medical_treatment, Operative Time, Population, Body Mass Index, Colonic Diseases, 03 medical and health sciences, 0302 clinical medicine, Robotic Surgical Procedures, medicine, Humans, Obesity, education, Aged, Retrospective Studies, education.field_of_study, business.industry, Gastroenterology, Retrospective cohort study, Perioperative, Middle Aged, Colorectal surgery, Surgery, Hospitalization, Rectal Diseases, Treatment Outcome, Case-Control Studies, 030220 oncology & carcinogenesis, Cohort, Female, Laparoscopy, 030211 gastroenterology & hepatology, Complication, business, Body mass index
Abstract

Many benefits of minimally invasive surgery are lost in the obese, but robotic-assisted laparoscopic surgery (RALS) may offer advantages in this population. Our goal was to compare outcomes for RALS in obese and non-obese patients. A prospective database was reviewed for colorectal resections using RALS. Patients were stratified into obese (BMI > 30 kg/m2) and non-obese cohorts (BMI

Published
2015
Full Text
View/download PDF

2. Evaluating quality across minimally invasive platforms in colorectal surgery

Author

Ali Mahmood, Sergio Ibarra, Juan R. Flores-Gonzalez, Deborah S. Keller, Eric M. Haas, Reena N. Tahilramani, and Nisreen Madhoun

Subjects
Male, Laparoscopic surgery, medicine.medical_specialty, medicine.medical_treatment, Operative Time, Colonic Diseases, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Minimally Invasive Surgical Procedures, Robotic surgery, Prospective Studies, Laparoscopy, Prospective cohort study, Colectomy, Quality of Health Care, medicine.diagnostic_test, business.industry, General surgery, Rectum, Perioperative, Length of Stay, Middle Aged, Prognosis, Colorectal surgery, Surgery, Treatment Outcome, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, business, Colorectal Surgery, Abdominal surgery
Abstract

There is an increasing emphasis on optimizing and measuring surgical quality. The safety and efficacy of minimally invasive techniques have been proven; however, direct comparison of outcomes across platforms has not been performed. Our goal was to compare operative times and quality across three minimally invasive platforms in colorectal surgery. A prospective database was reviewed for elective minimally invasive surgery (MIS) cases from 2008 to 2014. Patients were stratified into multiport laparoscopic, single-incision laparoscopic (SILS) or robotic-assisted laparoscopic approaches (RALS). Demographics, perioperative, and postoperative outcomes were analyzed. Multivariate regression analysis was used to predict the demographic and procedural factors and outcomes associated with each platform. The main outcome measures were operative time and surgical quality by approach. A total of 1055 cases were evaluated—28.4 % LAP, 18.5 % RALS, and 53.1 % SILS. RALS had the most complex patients, pathology, and procedures. The main diagnosis for RALS was rectal cancer (49.5 %), patients predominantly underwent pelvic surgery (72.8 %), had higher rates of neoadjuvant chemoradiation (p

Published
2015
Full Text
View/download PDF

3. Outcomes for single-incision laparoscopic colectomy surgery in obese patients: a case-matched study

Author

Nisreen Madhoun, Sergio Ibarra, Eric M. Haas, Deborah S. Keller, Oscar Moreno Ponte, T. Bartley Pickron, and Juan R. Flores-Gonzalez

Subjects
Adult, Male, Laparoscopic surgery, medicine.medical_specialty, medicine.medical_treatment, Operative Time, Blood Loss, Surgical, Colonic Polyps, 030230 surgery, Diverticulitis, Colonic, Colonic Diseases, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, medicine, Humans, Minimally Invasive Surgical Procedures, Obesity, Prospective Studies, Laparoscopy, Colectomy, Aged, Retrospective Studies, medicine.diagnostic_test, business.industry, Perioperative, Length of Stay, Middle Aged, Inflammatory Bowel Diseases, Databases, Bibliographic, Colorectal surgery, Surgery, Treatment Outcome, Case-Control Studies, 030220 oncology & carcinogenesis, Colonic Neoplasms, Cohort, Female, Complication, business, Abdominal surgery
Abstract

Single-incision laparoscopic surgery (SILS) is safe and feasible for benign and malignant colorectal diseases. SILS offers several patient-related benefits over multiport laparoscopy. However, its use in obese patients has been limited from concerns of technical difficulty, oncologic compromise, and higher complication and conversion rates. Our objective was to evaluate the feasibility and efficacy of SILS for colectomy in obese patients. Review of a prospective database identified patients undergoing elective colectomy using SILS from 2009 to 2014. They were stratified into obese (BMI ≥ 30 kg/m2) and non-obese cohorts (BMI

Published
2015
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results