Ghadrdoost B. The protocols raise many issues that are subject to change as new data emerge. Patients having minimally invasive surgeries, such as laparoscopic surgery, lose less blood, have fewer infections, and go home sooner than patients having open surgery (Wang 2017; Xiong 2017; Huang 2013). Inflammation. Feb 2018;42(2):371-379. Cox J, Rasmussen L. Enteral nutrition in the prevention and treatment of pressure ulcers in adult critical care patients. Feb 2018;62(2):94-102. Sep-Dec 2004;25(3-4):177-195. All three meta-analyses found that vitamin C supplementation significantly reduced the incidence of atrial fibrillation. Jun 2017;47(2):110-117. PloS one. This phenomenon is called postoperative delirium, and typically resolves before hospital discharge (Whitlock 2011). Aug 2016;160(2):272-280. D'Andrilli A, Rendina EA. Role of cytokines and cytokine therapy in wound healing and fibrotic diseases. Some patients may also be treated with antibiotics before surgery to reduce the risk of infection (Chang 2012; Holubar 2017). The Ordinary Alpha Lipoid Acid 5% falls under 2 categories in The Ordinary range, direct acids, and antioxidants. Pharmacological research: the official journal of the Italian Pharmacological Society. Dec 2015;292(6):1279-1284. Die Pharmazie. Engelen M, Klimberg VS, Allasia A, Deutz NEP. AHA. Flum DR. Preoperative Immunonutrition and Elective Colorectal Resection Outcomes. . Li F, Huang X, Wang K, Luo B, Zhang F, Chen Z, . Metallomics. Researchers are developing robots that surgeons can control to access the affected area without needing a large incision (Isaac-Lowry 2017). Mar 2017;31(3):168-174. Hadjibalassi M, Lambrinou E, Papastavrou E, Papathanassoglou E. The effect of guided imagery on physiological and psychological outcomes of adult ICU patients: A systematic literature review and methodological implications. . Eplasty. After 24 hours, wound healing was significantly improved in the aloe vera group compared with the control group (Molazem 2014). The data are particularly strong for patients taking probiotic supplements containing multiple strains (Liu, Yan 2017), but studies have not yet determined the best combinations. Probiotics Reduce Postoperative Infections in Patients Undergoing Colorectal Surgery: A Systematic Review and Meta-Analysis. Chambers AC, Leaper DJ. Gastroenterology research and practice. ESPEN Guidelines on Enteral Nutrition: Surgery including organ transplantation. Alpha-lipoic acid is an antioxidant also known as Acetate Replacing Factor, ALA, Biletan, Lipoicin, Thioctan, and many other names. Knee replacement. Mar 2010;89(3):219-229. Journal international du cancer. There has been tremendous interest in inhibiting nuclear factor-kappa B to decrease the overactive inflammatory reactions in sepsis, cancer, and autoimmune diseases (Maheshwari 2006; Park 2016; Abraham 2003). Diving and hyperbaric medicine. Roles of NF-kappaB in Cancer and Inflammatory Diseases and Their Therapeutic Approaches. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. Sep 2014;58(5):565-572. Curcumin: A Review of Its' Effects on Human Health. More extensive surgical procedures may require the patient to stay one or more nights in the hospital (Stanford Health Care 2017e). For patients who will undergo lung surgery, preoperative breathing exercises may help maximize lung function prior to surgery (Kendall 2017). Modern surgical techniques make surgery more effective and safer than ever before. Zhang B, Wei G, Li R, Wang Y, Yu J, Wang R, . Jun 2013;15(6):457-462. Supportive mattresses, frequent repositioning, and special wound dressings may help prevent and treat pressure ulcers (Boyko 2018; Serraes 2018; Elsabrout 2018). . Smith MD, McCall J, Plank L, Herbison GP, Soop M, Nygren J. Preoperative carbohydrate treatment for enhancing recovery after elective surgery. Observational evidence linking surgery to cognitive decline is relatively weak, and rigorous study data suggest any true effect on long-term cognitive function is likely negligible (Dokkedal 2016; Jiang 2017). In a study in rats subjected to experimental injury, the use of topical 1%, 2%, and 5% pycnogenol solutions shortened wound healing time and reduced scar size compared with pycnogenol-free solution, and the benefits were amplified as pycnogenol concentration increased (Blazso 2004). American volume. During surgery, compression stockings or devices that fill with air to compress the lower legs may help patients at risk for DVT (Bell 2015; Sederino 2016; Elbuluk 2018). Dec 2017;2(6):437-441. Melatonin is a hormone primarily produced in the pineal gland that affects a variety of brain functions related to sleep and wakefulness (Macchi 2004; Brown 1994). ... Now more than ever it’s important to take a moment for ourselves. Fact Sheet on Sepsis. BMJ (Clinical research ed.). In patients with wrist fractures, vitamin C supplementation (500 mg per day) was helpful in relieving pain (Zollinger 2007). World journal of surgery. Alpha-lipoic acid as a pleiotropic compound with potential therapeutic use in diabetes and other chronic diseases. While in the past open surgery used to be the only option for some surgical interventions, in recent years it has been increasingly replaced by minimally invasive surgery (Langer 2016; Doenst 2017; Stanford Health Care 2017b; Salem 2018; Sood 2015). Findings from another study in rats suggest that oral pycnogenol may reverse the negative impact of prior radiation therapy on post-surgical healing time (Deger 2013).

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