Is bilateral knee arthroscopy suitable as a day-case procedure?

Kulkarni, Abhaya V.; Brooks, S.; Pynsent, Paul

doi:10.1016/s0968-0160(02)00146-1

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…La tasa de complicaciones publicada para las artroscopias simples y las bilaterales realizadas en un mismo tiempo quirúrgico son similares, entre el 1% y el 6%. Las complicaciones más frecuentes en las cirugías bilaterales son dolor y hemartrosis, [8][9][10][11] lo que coincide con las dos complicaciones observadas en nuestra serie. Varias publicaciones señalan que la artroscopia bilateral en un único tiempo quirúrgico representa un menor costo hospitalario.…”

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La Artroscopia bilateral de rodilla en un solo tiempo quirúrgico, ¿es una opción segura?

Bistolfi

Zicaro

Gorodischer

et al. 2021

Rev. Asoc. Arg. Ort. y Traumatol

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Introducción: La artroscopia bilateral de rodilla en un solo tiempo quirúrgico permite cursar un solo posoperatorio y una única rehabilitación. El objetivo de este estudio fue evaluar los resultados clínico-funcionales y el tiempo hasta el retorno laboral y deportivo en una serie de pacientes sometidos a una artroscopia bilateral en un solo tiempo quirúrgico. Materiales y Métodos: Se evaluó a una serie retrospectiva de pacientes desde abril de 2016 hasta abril de 2019, que fueron sometidos a una artroscopia bilateral de rodilla en un solo tiempo quirúrgico. Se analizaron los resultados clínico-funcionales a corto y mediano plazo, y el tiempo para el retorno laboral y deportivo. Resultados: La edad promedio fue de 41 años (rango 18-63). El seguimiento promedio fue de 18 meses (rango 6-37). Los tiempos de anestesia y quirúrgico promedio fueron 105 min (rango 60-170) y 85 mi (rango 50-150), respectivamente. El tiempo promedio para el retorno laboral fue de 2 meses (rango 1-5). Todos los pacientes recuperaron el rango completo de movilidad articular. Conclusión: Si bien se han obtenido buenos resultados clínicos con la artroscopia bilateral de rodilla en un solo tiempo, en pacientes seleccionados, no se pueden establecer comparaciones ni conclusiones relevantes debido a la baja casuística y a la gran diversidad de las cirugías realizadas. La principal ventaja radicaría en evitar procedimientos en dos tiempos quirúrgicos, lo que implicaría dos operaciones, dos anestesias y dos programas de rehabilitación diferentes.

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Section: Revunclassified

La Artroscopia bilateral de rodilla en un solo tiempo quirúrgico, ¿es una opción segura?

Bistolfi

Zicaro

Gorodischer

et al. 2021

Rev. Asoc. Arg. Ort. y Traumatol

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“…Over the last 20 years, there have been huge advances in arthroscopic surgery, with many conventional open procedures now being performed arthroscopically. The majority of arthroscopic procedures, including bilateral and more complex procedures, are now performed as ‘day cases’ [1], [2]. The advantages of arthroscopic over open operations may include less soft tissue injury, less blood loss, lower infection rates, a reduced length of hospital stay and reduced postoperative pain and stiffness with earlier mobilization.…”

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confidence: 99%

Blood Loss in Arthroscopic Shoulder Surgery: Is it Clinically Important?

et al. 2013

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Background The blood loss associated with arthroscopic surgery has generally been considered to be minimal and not clinically relevant. However, there are currently no data available in the published literature to support this assumption. Methods The present prospective study used spectrophotometry of collected irrigation fluid to measure the blood loss associated with a variety of arthroscopic shoulder procedures conducted in 20 patients. Results Measured blood loss ranged from 1.22 mL to 36.45 mL. This confirmed that, even in lengthy arthroscopic procedures without a tourniquet, blood loss is minimal. Conclusions The results obtained in the present study confirm the presumed advantage of arthroscopic surgery in terms of blood loss, and also confirm that the full range of arthroscopic shoulder surgery can be safely performed, from a haemodynamic perspective, as day case procedures.

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Novel transdermal photodynamic therapy using ATX-S10·Na(II) induces apoptosis of synovial fibroblasts and ameliorates collagen antibody-induced arthritis in mice

et al. 2005

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We aimed to test the effect of transdermal photodynamic therapy (PDT) on synovial proliferation in vitro and in vivo, using a novel photosensitizer, ATX-S10.Na(II). Synovial fibroblasts were obtained from patients with RA (RASF). Cell viability with or without PDT was determined by MTT assay. Cell morphology was examined by light and transmission electron microscopy. DNA fragmentation was labeled by TUNEL stain. Collagen antibody-induced arthritis (CAIA) was induced in DBA/1 mice, and the effects of transdermal PDT were evaluated by clinical and histological examination. PDT showed drug concentration-dependent and laser dose-dependent cytotoxicity on RASF. TUNEL stain and TEM study revealed the induction of apoptotic cell death of RASF. Transdermal PDT significantly reduced clinical arthritis and synovial inflammation in this model of arthritis. These results suggest that transdermal PDT using ATX-S10.Na(II) might be a novel less invasive treatment strategy for small joint arthritis and tenosynovitis.

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Is bilateral knee arthroscopy suitable as a day-case procedure?

Cited by 3 publications

References 7 publications

La Artroscopia bilateral de rodilla en un solo tiempo quirúrgico, ¿es una opción segura?

La Artroscopia bilateral de rodilla en un solo tiempo quirúrgico, ¿es una opción segura?

Blood Loss in Arthroscopic Shoulder Surgery: Is it Clinically Important?

Novel transdermal photodynamic therapy using ATX-S10·Na(II) induces apoptosis of synovial fibroblasts and ameliorates collagen antibody-induced arthritis in mice

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