ABSTRACT
Introduction: Uniportal colorectal surgery as an upgrade of laparoscopy belongs to advanced surgical procedures and is not yet widespread. Against the fact, that this method is in the world fully accepted in the therapy of benign and also malign diseases of colon Slovakia suffers from lack of daily application. Material and methods: We have combined analysis, for years 2018 and 2019 we have used retrospective analysis and the year 2020 we collected the data prospectively. We an analysis of patients operated trough a single incision and we did an evaluation of functional and also of cosmetical result. Results: In the observed time period we have operated on 104 patients. The patient’s pool is divided into two parts. Part one is a retrospective analysis of yeas 2018 and 2019. Part two is just a year 2020, in this part, are included relatively few patients because of COVID plaque was the number of operated patients radically decimated and also benign/malign ratio does not respond to long time statistic. Just one patient had a major complication and had to be acutely operated on. In 6 months follow up were all patients satisfied with the cosmetic result. Conclusion: Uniportal approach in colorectal surgery is considered a safe and precise method with fully comparable oncological outcome to other methods. According to our analysis the single incision does not have massive handicaps in comparing to conventional laparoscopy but has an expressive advantage in a decrease of parietal trauma © 2021. Lekarsky Obzor.All Rights Reserved.
ABSTRACT
INTRODUCTION: COVID-19 survivors are at risk of functional decline. To address the current gap in knowledge about post-acute needs of those infected by COVID-19, we examined discharge function data to better prepare patients, providers, and health systems to return patients to optimal levels of functioning. OBJECTIVE: This study examines the prevalence of functional decline and related rehabilitation needs at hospital discharge. DESIGN: Prospective chart review. SETTING: Academic tertiary care hospital PARTICIPANTS: Hospitalized adults with a laboratory confirmed COVID-19 diagnosis, with admission dates between March 4, 2020 and May 1, 2020 INTERVENTIONS: Not applicable MAIN OUTCOME MEASURES: Discharge location;need for outpatient physical, occupational, or speech therapy;need for durable medical equipment at discharge;presence of dysphagia at discharge;functional decline. RESULTS: Three hundred eleven potential cases were reviewed. The final number of cases included in analysis was N=288, ranging in age from 20-95 years old (mean 66.80+/-15.31 years). Nearly twenty percent of COVID-19 survivors discharged to a location other than their home. Forty-five percent of survivors experienced functional decline impacting their discharge. Eighty-seven (80.6%) of survivors who showed functional change during hospitalization were referred for additional therapy at discharge. At least 73 (67.6%) of these patients required DME at discharge (in 12 cases this was not clearly documented). Twenty-nine (26.7%) of the survivors who showed functional changes had ongoing dysphagia at the time of hospital discharge. Ninety-seven of the survivors (40.6%) were never assessed by a PM&R physician, physical therapist, occupational therapist, or speech language pathologist during their hospitalization. CONCLUSIONS: COVID-19 mortality rates are frequently reported in the media, while the effects on function are not as well described. The information provided here highlights the need for rehabilitative services during and after hospitalization for COVID-19. This article is protected by copyright. All rights reserved.