This is a case of Purtscher-like retinopathy associated with paracentral acute middle maculopathy caused by industrial silicone embolism after an illicit cosmetic procedure for buttock augmentation. Color fundus photography and optical coherence tomography were able to determine the characteristics features of Purtscher-like retinopathy and paracentral acute middle maculopathy.
movement) recovery, hospital discharge order written, actual hospital discharge, opioid consumption, and overall postoperative ileus-related morbidity. Categorical and linear variables were compared using Fisher's exact and Mann Whitney U tests, respectively.RESULTS: There was no significant differences in mean patient age, gender distribution, type of urinary diversion, or PCA usage between groups. There were no significant side effects reported in patients receiving alvimopan. Alvimopan significantly decreased time to return of bowel function (GI-2: 104Ϯ33hr vs. 142 Ϯ 53hr, pϽ0.01; GI-3: 102Ϯ34hr vs. 140Ϯ53hr, pϽ0.01). Hospital length of stay was significantly shorter in patients treated with alvimopan (5.8Ϯ1.3d vs. 7.5Ϯ2.9d, pϽ0.05). The 30-day readmission rate for vomiting, adynamic ileus, or partial small bowel obstruction in patients receiving alvimopan was 0% compared to 10.4% in the control group.CONCLUSIONS: Consistent with clinical trial data in general surgery series, alvimopan use following radical cystectomy shortened hospital length of stay and decreased time to return of bowel function by approximately 1.5 days. These results support the clinical benefit of alvimopan in patients undergoing radical cystectomy.
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