更新于：2024-11-01

Aretaieion University Hospital

Greece

更新于：2024-11-01

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项与 Aretaieion University Hospital 相关的临床试验

NCT06464393 / RecruitingN/AIIT

The Effect of Opioid-free Anesthesia on Hemodynamic Response and Nociception Level Index During Laryngoscopy and Intubation

The aim of this study will be to investigate the effect of opioid-free induction versus opioid-based induction on hemodynamic response and nociception level index during elective operations

开始日期2024-03-20

申办/合作机构

Aretaieion University Hospital

NCT06376058 / RecruitingN/AIIT

Intrathecal Use of Chloroprocaine 1% and Ropivacaine 0,75% During Elective Cesarean Section. A Comparative Study

This will be a prospective randomized study, aiming at comparing an intrathecal fixed dose of chloroprocaine 1% versus an intrathecal fixed dose of ropivacaine 0.75% in elective cesarean sections

开始日期2024-01-10

申办/合作机构

Aretaieion University Hospital

NCT05843344 / Not yet recruitingN/AIIT

Dexmedetomidine and Morphine as Adjuvants to US Guided Erector Spinae Plane Blocks in Elective Thoracic Surgeries

The aim of this study will be to compare the effects of morphine versus dexmedetomidine when used as adjuvants to local anesthetic (Ropivacaine) in Erector Spinae Plane Block under ultrasound guidance. A group without an adjuvant will also be compared to the groups.

开始日期2023-05-01

申办/合作机构

Aretaieion University Hospital

100 项与 Aretaieion University Hospital 相关的临床结果

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0 项与 Aretaieion University Hospital 相关的专利（医药）

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225

项与 Aretaieion University Hospital 相关的文献（医药）

2024-09-01·Diseases of the Esophagus

744. LEFT THORACOABDOMINAL ESOPHAGECTOMY: ITS VALIDITY IN MODERN ESOPHAGEAL SURGERY

作者: Dellaportas, Dionysios ; Margaris, Ioannis ; Nastos, Constantinos ; Myoteri, Despoina ; Latsonas, Panagiotis ; Pararas, Nikolaos ; Vlachos, Iakovos ; Papaconstantinou, Dimitrios ; Pikouli, Anastasia ; Pikoulis, Emmanuel

AbstractBackgroundThe optimal surgical approach for the treatment of esophageal and gastroesophageal junction tumors remains elusive. An open left thoracoabdominal approach may prove particularly useful in certain clinical scenarios, mainly because of its versatility and excellent exposure provided. The aim of this study is to present our experience and evaluate the early outcomes related to an open left thoracoabdominal esophagectomy (LTE).MethodsA retrospective cohort study of prospectively collected data was conducted from two institutions performing esophageal surgery. Patients with distal esophageal or junctional tumors who underwent an open LTE between November 2018 and December 2023 were included. Primary outcomes were 30-day and in-hospital mortality, postoperative complications, and surrogates of oncological efficacy, including resection margin status and lymph node yield. Complications were recorded using the definitions provided by the Esophagectomy Complications Consensus Group and scored according to the Clavien-Dindo classification. Circumferential resection margin status was based on the definition used by the College of American Pathologists.ResultsDuring the study period 22 patients underwent an open LTE with a standard two-field lymphadenectomy. Eight patients (36%) suffered from postoperative complications, with pulmonary complications being the most common (7 patients; 32%). Severe complications (Clavien-Dindo ≥3) occurred in 3 patients. One patient experienced a clinical anastomotic leak. None of the patients required a reoperation or a step-up to a higher level of care. The 30-day and in-hospital mortality were zero. On histological examination, 6 patients (27%) had tumor cells at the surgical margin, most commonly the circumferential resection margin. A mean number of 27 lymph nodes were retrieved.ConclusionThis small series demonstrates the applicability of an open left thoracoabdominal approach in everyday surgical practice for the treatment of distal esophageal and gastroesophageal junction tumors. Our results imply that open LTE can be implemented in select patients with acceptable morbidity and oncological efficacy.

2024-03-06·The Journal of Maternal-Fetal & Neonatal Medicine4区 · 医学

Macrosomia and fetal growth restriction: evidence for similar extrauterine metabolic risks but with differences in pathophysiology

4区 · 医学

Article

作者: Bargiota, Alexandra ; Tsantekidou, Inga ; Kalantaridou, Sophia ; Vrachnis, Nikolaos ; Evangelinakis, Nikolaos ; Valsamakis, Georgios

PURPOSETo investigate and compare the causes of macrosomia and FGR fetuses, their ultrasound characteristics and the importance of their similar metabolic profile in intrauterine and extrauterine life.MATERIALS AND METHODSWe searched Pubmed/Google Scholar database up until 15 December 2020 using keywords. Out of the 70 matching results we selected 50 most representative and matching papers.RESULTSWe found similar causes and metabolic profiles and in both conditions offspring are at increased risk of developing metabolic and cardiovascular diseases in the extrauterine life.CONCLUSIONDespite similarities of the maternal factors and fetal metabolic profile it is still unknown which of them has worse metabolic status during intrauterine and extrauterine life.

2024-02-18·Cureus

Laparoscopic Cystectomy for a 20-Centimetre Ovarian Endometrioma in a Subfertile Patient: Α Case Report

作者: Daniilidis, Angelos ; Grigoriadis, Georgios ; Lazaridis, Alexandros ; Smith, Andres Vigueras

Large ovarian endometriomas may cause severe pressure symptoms and often require surgical management. The laparoscopic approach, although challenging, is feasible and safe when performed by surgeons with advanced minimal access skills, provided that certain rules are respected. We report a case of a 40-year-old, nulliparous patient with a history of endometriosis, low ovarian reserve, and subfertility who presented with a 20-cm left ovarian endometrioma and associated symptoms, managed successfully by laparoscopic cystectomy. Compared to non-excisional surgical methods, endometrioma cystectomy likely causes a more profound decline in post-operative ovarian reserve, which is particularly important in the context of subfertility. We discuss the technical aspects of this challenging procedure, potential alternative approaches, and clinical decision-making as to why cystectomy was preferred.

100 项与 Aretaieion University Hospital 相关的药物交易

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100 项与 Aretaieion University Hospital 相关的转化医学

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