Urologic Surgery with Multisystem Comorbidities: A Case Report

Overview

Journal Am J Case Rep

Specialty General Medicine

Date 2018 Sep 2

PMID 30171179

Citations 1

Authors

Upendra Maddineni

Eric F Worrall

Erik A Baker

Madhavi Earasi

Francis Mathieu

Georgi Guruli

Affiliations

Soon will be listed here.

Abstract

BACKGROUND Originally implemented for colorectal surgery, enhanced perioperative protocols have been incorporated into many surgical fields in an effort to improve outcomes. The cornerstone of many strategies includes patient education, liberalized oral intake on the day of surgery, no routine bowel prep, targeted multimodal analgesia, cautious use of IV hydration, early extubation, avoidance of NG tubes and/or surgical drains, and encouraging early postoperative ambulation. CASE REPORT We report on the successful outcome of a single patient with a rare autosomal dominant disorder (hereditary hemorrhagic telangiectasia) with multisystem involvement including pulmonary, cardiac, hematologic, gastrointestinal, renal, oncologic, and hepatic comorbidities, scheduled for open nephrectomy. CONCLUSIONS Prospective and retrospective studies are needed to specifically elucidate the role of similar management in higher-risk surgical candidates.

Citing Articles

CHARACTERISTICS AND TREATMENT OUTCOMES OF UROLOGIC PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT, OSIJEK UNIVERSITY HOSPITAL CENTER.

Cicvaric A, Glavas Tahtler J, Pavlovic O, Mikic I, Kelrajter I, Kvolik S Acta Clin Croat. 2024; 62(Suppl2):14-20.

PMID: 38966029 PMC: 11221221. DOI: 10.20471/acc.2023.62.s2.2.

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